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Dr. Charles Michael Kissick, LADC,LPC,ICAADC
Counselor in Guthrie, Oklahoma
NPI 1972744639

Charles Michael Kissick is a Counselor based in Guthrie, OK. Charles Michael Kissick practices in Guthrie, OK and has the professional credentials of LADC,LPC,ICAADC. The NPI Number for Charles Michael Kissick is 1972744639 and holds a License No. 844 (Oklahoma).

The current practice location address for Charles Michael Kissick is 4000 E Charter Oak Rd, Guthrie, OK and can be reached out via phone at 405-466-8155 and via fax at 405-390-5668.

Location: 4000 E Charter Oak Rd, Guthrie, OK, 73044-9350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972744639
Provider Name
Charles Michael Kissick
Credential
LADC,LPC,ICAADC
Provider Entity Type
Individual
Gender
Male
Address
4000 E Charter Oak Rd, Guthrie, OK, 73044-9350
Phone Number
405-466-8155
Fax Number
405-390-5668
Provider Enumeration Date
03/10/2009
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
4000 E Charter Oak Rd
City
Guthrie
State
Oklahoma
Zip
73044-9350
Phone Number
405-466-8155
Fax Number
405-390-5668
person
Provider Business Mailing Address Details
Address
4000 E Charter Oak Rd
City
Guthrie
State
Oklahoma
Zip
73044-9350
Phone Number
405-466-8155
Fax Number
405-390-5668
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC04707 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
844 (Oklahoma)
Definition
Definition to come...
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