Individual
DARRELL DEAN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1500 N 6TH ST, PONCA CITY, OK 74601-2827
(580) 763-4092
Mailing address
522 N 14TH ST # 114, PONCA CITY, OK 74601-4654
(580) 763-4092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1096
OK
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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