Individual
DR. CHARLES K. UNDERWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. LMHC
Contact information
Practice address
1047 SHINNECOCK HILLS DR, OVIEDO, FL 32765-5809
(407) 342-7165
(407) 977-0931
Mailing address
PO BOX 825, GOLDENROD, FL 32733-0825
(407) 342-7165
(407) 977-0931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 6777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z024Y
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/22/2008
Last updated
10/22/2008
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