Individual provider · Type 1 NPI
Talina Marie Davisenn, LPC
Mental Health Counselor · Moore, OK
NPI number
1508367442
Active
Practice location
1032 NW 18th St
Moore, OK 73160-1440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7395 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1508367442
Talina Marie Davisenn, LPC's National Provider Identifier is 1508367442, issued on Feb 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Aug 26, 2024.