Kelly Divine
NPI #1740725381 in Heavener, Oklahoma
Provider Information
- NPI Number
- 1740725381
- Entity Type
- Individual
- Name
- Kelly Divine
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 5, 2017
- Last Updated
- Jan 5, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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