Individual
CHARLES E PARKHURST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E HIGHWAY 66, ELK CITY, OK 73644-1906
(580) 225-4337
(580) 225-4338
Mailing address
132 RIDGELINE DR, WEATHERFORD, OK 73096-9223
(580) 225-4337
(580) 225-4338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
322
OK
101YM0800X
Mental Health Counselor
2038
OK
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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