Individual
CHARLES L DICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC/MH-C, CMA
Contact information
Practice address
948 W HEFNER RD, OKLAHOMA CITY, OK 73114-6927
(405) 353-9500
Mailing address
948 W HEFNER RD, OKLAHOMA CITY, OK 73114-6927
(405) 921-1131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CANDIDATE
OK
Other
Enumeration date
08/09/2013
Last updated
08/01/2023
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