Individual
CHARLIE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(405) 702-6677
Mailing address
1305 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2403
(405) 702-6677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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