Individual provider · Type 1 NPI
Charles Michael Kissick, LADC, LPC, ICAADC
Counselor · Guthrie, OK
NPI number
1972744639
Active
Practice location
4000 E Charter Oak Rd
Guthrie, OK 73044-9350
Fax (405) 390-5668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 844 (OK) |
| Counselor Primary | 101Y00000X | LPC04707 (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.
2 other providers at this address
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About NPI 1972744639
Charles Michael Kissick, LADC, LPC, ICAADC's National Provider Identifier is 1972744639, issued on Mar 10, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Guthrie, OK. The record was last updated on Aug 20, 2024.