Organization
CYVIL B. BURKS, SR., LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYVIL B BURKS SR. LPC (OWNER)
(405) 808-5229
Entity
Organization
Contact information
Practice address
2212 NW 50TH ST, SUITE 172C, OKLAHOMA CITY, OK 73112-8086
(405) 808-5229
Mailing address
PO BOX 12883, OKLAHOMA CITY, OK 73157-2883
(405) 858-0600
(405) 858-0602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1327
OK
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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