Individual
DR. CHARLES L. CAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, AAMFT,PHD, PSYD
Contact information
Practice address
9901 S WESTERN AVE, SUITE A, OKLAHOMA CITY, OK 73139-2951
(405) 412-7189
Mailing address
5825 N BLUE LAKE DR, NORMAN, OK 73069-8058
(405) 701-1090
(405) 701-1095
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LPC#4095
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200412200A
—
OK
Enumeration date
02/24/2009
Last updated
04/02/2014
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