Individual
CHANDRA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-8100
Mailing address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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