Organization
DIVERSIFIED CONSULTING, INC.
Active
Organization
DIVERSIFIED CONSULTING, INC.
Active
Other names
Center for Psychological Development
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY GIBSON MBS, LPC, CART (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(903) 868-2961
Entity
Organization
Contact information
Practice address
142 W MAIN ST, DURANT, OK 74701-5008
(580) 920-2069
(580) 920-1010
Mailing address
142 W MAIN ST, DURANT, OK 74701-5008
(580) 920-2069
(580) 920-1010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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