Individual
VONETTA BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 NE 83RD ST, OKLAHOMA CITY, OK 73114-3903
(405) 286-1133
Mailing address
805 NE 83RD ST, OKLAHOMA CITY, OK 73114-3903
(405) 286-1133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H082139906
—
OK
Enumeration date
08/05/2010
Last updated
07/30/2021
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