Provider Demographics
NPI:1043396641
Name:JAMES, DNAYDAVINA (LPC LADC)
Entity Type:Individual
Prefix:MS
First Name:DNAYDAVINA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC LADC
Other - Prefix:MS
Other - First Name:DNAYDAVINA
Other - Middle Name:
Other - Last Name:ZAWERUCHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:744 SE 25TH STREET
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73129
Mailing Address - Country:US
Mailing Address - Phone:405-636-1463
Mailing Address - Fax:405-635-8417
Practice Address - Street 1:744 SE 25TH STREET
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73129
Practice Address - Country:US
Practice Address - Phone:405-636-1463
Practice Address - Fax:405-635-8417
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3362101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor