Individual
CHUCK LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 N BROOKLINE AVE # 26, OKLAHOMA CITY, OK 73112-3901
(405) 524-6500
(405) 524-6515
Mailing address
6100 N BROOKLINE AVE # 26, OKLAHOMA CITY, OK 73112-3901
(405) 524-6500
(405) 524-6515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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