Individual provider · Type 1 NPI

Jason Michael Burdge, CCDC, CBHCM, BHRS

Professional Counselor · Sapulpa, OK

NPI number 1932400330 Active

Practice location

23 E Ross Ave
Sapulpa, OK 74066-6423

Call (918) 640-0290 Map

Fax (918) 227-1125

Mailing address

1006 N Lincoln Ave
Sand Springs, OK 74063-7823

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X101YP2500X (OK)

Professional Counselor: Definition to come...

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About NPI 1932400330

Jason Michael Burdge, CCDC, CBHCM, BHRS's National Provider Identifier is 1932400330, issued on Nov 16, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sapulpa, OK. The record was last updated on Nov 16, 2010.