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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL KEITH BURNSIDE, LPC, LADC

Active

MICHAEL KEITH BURNSIDE, LPC, LADC is a Professional Counselor healthcare provider located in OKMULGEE, Oklahoma. NPI 1194739334 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · OKMULGEE, OK

Registration Details

NPI Number
1194739334
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.025637707013 yrs)
Last Updated
Mar 13, 2009
Licenses
553 (OK)
2650 (OK)

Practice Information

Address
100 W 7TH ST STE 102
OKMULGEE, OK, 744475007
Browse OK providers · Browse ZIP 74447
Phone
9187581910
Fax
9187561270
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in OKMULGEE, OK

Name Credential NPI
TRUMAN KEITH KEPLINGER LPC 1891703542
MR. BRENT MATTHEW BLACK LPC 1861580375
MS. SHARON DALRYMPLE LPC 1578767943
LESLIE LYNN CROW LPC 1003052465
HOLLY TRUNK 1881987899
EMMA LEE DE LA CRUZ 1174874275
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.