Individual
DACIA LYNN BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 S ELM ST, CHELSEA, OK 74016-2425
(918) 500-6195
Mailing address
105 S ELM ST, CHELSEA, OK 74016-2425
(918) 500-6195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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