Individual
KACY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9211 N COUNCIL RD, APT 629, OKLAHOMA CITY, OK 73132-1345
(316) 213-9068
Mailing address
9211 N COUNCIL RD, APT 629, OKLAHOMA CITY, OK 73132-1345
(316) 213-9068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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