Individual
MS. ANNA MAUREEN BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 S RANCHWOOD BLVD STE 11, YUKON, OK 73099-2745
(405) 492-6230
Mailing address
12503 SW 3RD ST, YUKON, OK 73099-6107
(405) 227-4906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7766
OK
101YM0800X
Mental Health Counselor
Primary
7766
OK
101YP2500X
Professional Counselor
7766
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/18/2019
Last updated
04/30/2021
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