Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Michael Kissick, LADC, LPC, ICAADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972744639

Dr. Charles Michael Kissick, LADC, LPC, ICAADC is an Addiction (Substance Use Disorder) Counselor in Guthrie, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4000 E Charter Oak Rd
Guthrie, OK 73044-9350
Phone: (405) 466-8155
Fax: (405) 390-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC04707 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 844 (OK)

Record details

NPI number1972744639
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LPC , ICAADC
Sole proprietorYes
NPI enumeratedMarch 10, 2009
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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