Individual
CHARLES HEITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC U/S
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
1708 SUMAC DR, NORMAN, OK 73071-1945
(580) 399-0472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11686
OK
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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