Search › Oklahoma › 101Y00000X
Charles Kissick, LADC, LPC, ICAADC
NPI 1972744639 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4000 E Charter Oak Rd
Guthrie, OK 73044 - Phone
- (405) 466-8155
- Fax
- (405) 390-5668
- Organisation at this address
- Abundant Life Today Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma