Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOMMY D IVISON, LPC
Active Sole ProprietorMR. TOMMY D IVISON, LPC is a Professional Counselor healthcare provider located in MARQUAND, Missouri. NPI 1508182569 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MARQUAND, MO
Registration Details
- NPI Number
- 1508182569
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2010 (16.350436474995 yrs)
- Last Updated
- Feb 14, 2015
- License
-
2008032465 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 MADISON 304MARQUAND, MO, 636558691Browse MO providers · Browse ZIP 63655
- Phone
- 5732184703
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.