Individual provider · Type 1 NPI

Misty Ann Divin, L.P.C.

Professional Counselor · Bolivar, MO

NPI number 1114950482 Active

Practice location

315 S Main Ave
Bolivar, MO 65613-2052

Call (417) 326-2902 Map

Fax (417) 326-4555

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2003031288 (MO)

Professional Counselor: Definition to come...

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About NPI 1114950482

Misty Ann Divin, L.P.C.'s National Provider Identifier is 1114950482, issued on Jul 9, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bolivar, MO. The record was last updated on Jul 9, 2007.