person
Michael Keith Burnside, LPC,LADC
Professional Counselor in Okmulgee, Oklahoma
NPI 1194739334

Michael Keith Burnside is a Professional Counselor based in Morris, OK and is specialized in Professional. Michael Keith Burnside practices in Okmulgee, OK and has the professional credentials of LPC,LADC. The NPI Number for Michael Keith Burnside is 1194739334 and holds a License No. 553 (Oklahoma).

The current practice location address for Michael Keith Burnside is 100 W 7Th St Ste 102, Okmulgee, OK and can be reached out via phone at 918-758-1910 and via fax at 918-756-1270.

Location: 100 W 7Th St Ste 102, Okmulgee, OK, 74445-2224
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Provider Profile Details
NPI Number
1194739334
Provider Name
Michael Keith Burnside
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
100 W 7Th St Ste 102, Okmulgee, OK, 74445-2224
Phone Number
918-758-1910
Fax Number
918-756-1270
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300522336 01 OK MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 W 7Th St Ste 102
City
State
Zip
74447-5007
Phone Number
918-758-1910
Fax Number
918-756-1270
person
Provider Business Mailing Address Details
Address
100 W 7Th St Ste 102
City
State
Zip
74447-5007
Phone Number
918-758-1910
Fax Number
918-756-1270
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2650 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
553 (Oklahoma)
Definition
Definition to come...
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