Individual provider · Type 1 NPI

Kenneth Burrough

Mental Health Counselor · Oklahoma City, OK

NPI number 1720304645 Active

Practice location

4030 N Lincoln Blvd
Oklahoma City, OK 73105-5207

Call (405) 528-4673 Map

Mailing address

1525 N Midwest Blvd Apt 7
Midwest City, OK 73110-3299

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720304645

Kenneth Burrough's National Provider Identifier is 1720304645, issued on Apr 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 16, 2010.