Individual
MR. CHARLES WATSON ROBINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC-MH
Contact information
Practice address
1401 NW 150TH ST STE B, EDMOND, OK 73013-2169
(405) 823-1356
Mailing address
PO BOX 1640, EDMOND, OK 73083-1640
(405) 823-1356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1236
OK
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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