Individual
MICHELE M BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
11500 CARRIAGE DR, YUKON, OK 73099-8103
(405) 623-7163
Mailing address
11500 CARRIAGE DR, YUKON, OK 73099-8103
(405) 623-7163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1
OK
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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