Individual
DIANA DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
2460 NW 39TH ST, OKLAHOMA CITY, OK 73112-8956
(405) 948-1770
(405) 943-7177
Mailing address
2460 NW 39TH ST, OKLAHOMA CITY, OK 73112-8956
(405) 948-1770
(405) 943-7177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100679850A
—
OK
Enumeration date
08/29/2016
Last updated
08/29/2016
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