Individual provider · Type 1 NPI

Michael Lee Sourie

Counselor · Edmond, OK

NPI number 1346520871 Active

Practice location

712 NW 193rd St
Edmond, OK 73012-3418

Fax (405) 340-4257

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1346520871

Michael Lee Sourie's National Provider Identifier is 1346520871, issued on Aug 29, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 29, 2011.