Individual provider · Type 1 NPI
Leslie Burnside, MED
Mental Health Counselor · Edmond, OK
NPI number
1407490048
Active
Practice location
600 N Blackwelder Ave Apt 24
Edmond, OK 73034-5167
Mailing address
2433 NW 194th Ter
Edmond, OK 73012-3532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407490048
Leslie Burnside, MED's National Provider Identifier is 1407490048, issued on Nov 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Nov 6, 2019.