DR. CHARLES MICHAEL KISSICK LADC LPC ICAADC NPI 1972744639

NPI Information

  • NPI: 1972744639
  • Provider Name: DR. CHARLES MICHAEL KISSICK, LADC, LPC, ICAADC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 4000 E CHARTER OAK RD
    GUTHRIE, OK
    ZIP 73044
  • Phone: (405) 466-8155

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NPI Details

DR. Charles Michael Kissick, LADC, LPC, ICAADC is a counselor in Guthrie, OK. The provider is 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. DR. Charles Michael Kissick, LADC, LPC, ICAADC NPI is 1972744639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4000 E CHARTER OAK RD
GUTHRIE, OK
ZIP 73044-350
Phone: (405) 466-8155
Fax: (405) 390-5668

The enumeration date for this NPI number is 3/10/2009 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)844OKLAHOMANo
2101Y00000XCounselorLPC04707OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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