Individual
MR. CHARLES BARTLETT MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.C.
Contact information
Practice address
1110 W WILLIAM CANNON DR # 305, AUSTIN, TX 78745-5468
(512) 899-2100
(512) 899-2205
Mailing address
1110 W WILLIAM CANNON DR # 305, AUSTIN, TX 78745-5468
(512) 899-2100
(512) 899-2205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8532
TX
Other
Enumeration date
04/16/2008
Last updated
03/17/2022
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