Provider Demographics
NPI:1841572989
Name:DIEHL, JANET KATHRYN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:KATHRYN
Last Name:DIEHL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 CORBETT DR
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-2707
Mailing Address - Country:US
Mailing Address - Phone:405-473-0386
Mailing Address - Fax:
Practice Address - Street 1:3817 CORBETT DR
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2707
Practice Address - Country:US
Practice Address - Phone:405-473-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health