Ericka Burleson
Ericka Burleson is a Peer Specialist in Fort Supply, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
193461 E Co Rd 304Fort Supply, OK 73841
Phone: (580) 766-2311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1396406757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2022 |
| Last updated in NPPES | January 6, 2022 |
| Certification date | January 5, 2022 |
| Mailing address | 193461 E Co Rd 304, Fort Supply, OK 73841 |