Individual provider · Type 1 NPI

Angelique Burnside, LPC

Counselor · Norman, OK

NPI number 1104641844 Active

Practice location

3261 24th Ave NW Ste 101
Norman, OK 73069-6666

Mailing address

1002 Linden Ln
Noble, OK 73068-8323

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPCCANDIDATE12495 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104641844

Angelique Burnside, LPC's National Provider Identifier is 1104641844, issued on Nov 18, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Norman, OK. The record was last updated on Nov 18, 2024.