Individual
CHARLES RAY CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 WOODLAND DR, MIDWEST CITY, OK 73130-3422
(225) 228-8656
Mailing address
409 WOODLAND DR, MIDWEST CITY, OK 73130-3422
(225) 228-8656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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