Provider Demographics
NPI:1689373862
Name:BURNHAM, JAMES C (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:BURNHAM
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6104 E 76TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8548
Mailing Address - Country:US
Mailing Address - Phone:951-544-5577
Mailing Address - Fax:
Practice Address - Street 1:6104 E 76TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8548
Practice Address - Country:US
Practice Address - Phone:951-544-5577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health