Individual provider · Type 1 NPI
Cynthia Dervaes, L.P.C.
Professional Counselor · Mcalester, OK
NPI number
1699155572
Active
Practice location
301 W Washington Ave
Mcalester, OK 74501-4448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5717 (OK) |
Professional Counselor: Definition to come...
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About NPI 1699155572
Cynthia Dervaes, L.P.C.'s National Provider Identifier is 1699155572, issued on Jun 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mcalester, OK. The record was last updated on Jun 4, 2015.