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Individual
CHARLES ROBERT LOVE
Active
Individual
CHARLES ROBERT LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, LMHC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002436A
IN
101YP1600X
Pastoral Counselor
—
KY
106H00000X
Marriage & Family Therapist
0725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766233
ANTHEM
IN
Enumeration date
04/25/2007
Last updated
04/30/2015
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