Individual
JOEL NICHOLAS BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11707 S. FIR AVE, JENKS, OK 74037
(918) 639-1238
Mailing address
11707 S FIR AVE, JENKS, OK 74037-5020
(918) 639-1238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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