Individual
DR. RICHARD CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
10031 PINES BLVD STE 248, PEMBROKE PINES, FL 33024-6180
(754) 229-5912
(413) 618-3929
Mailing address
3608 SW 58TH AVE, WEST PARK, FL 33023-6131
(305) 496-7531
(413) 618-3929
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767474100
—
FL
Enumeration date
09/27/2006
Last updated
03/17/2018
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