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

DR. CHARLES MICHAEL KISSICK, LADC, LPC, ICAADC

Active Sole Proprietor

Counselor · GUTHRIE, OK

Registration Details

NPI Number
1972744639
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2009 (17.116591512214 yrs)
Last Updated
Aug 20, 2024
Licenses
844 (OK)
LPC04707 (OK)
Sole Proprietor
Yes

Practice Information

Address
4000 E CHARTER OAK RD
GUTHRIE, OK, 730449350
Browse OK providers · Browse ZIP 73044
Phone
4054668155
Fax
4053905668
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in GUTHRIE, OK

Name Credential NPI
MR. MICHAEL PIZINSKI MED, BS IN HEALTH 1093018814
CLESTINE JESSIE FLOWERS 1841568227
MS. ROBBIE LORETTE GOBER B.A., M.S. 1194088724
ZANADE SHAREA MORGAN 1053676577
MISS LEONDRA JANELL DOAKES 1235486929
MRS. SIMONA BLOUNT BHRS 1730437963
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.