MISS Marla Jane Divelbiss, LPC

NPI #1720429467 in Bixby, Oklahoma

Provider Information

NPI Number: 1720429467
Entity Type: Individual
Name: MISS Marla Jane Divelbiss, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Jul 10, 2013
Last Updated: Jul 10, 2013

Practice Location

Address: 7715 E GREENS AVE APT 105
City: Bixby
State: Oklahoma
ZIP Code: 74008-5069
Phone: (918) 230-3934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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