Individual
AMY D BURNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4314 W HIGHWAY 70, DURANT, OK 74701-4588
(580) 924-9441
Mailing address
133 ROSS RD, CALERA, OK 74730-4610
(405) 593-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6306
OK
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/14/2012
Last updated
01/18/2018
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