Individual
DR. CHARLES EDWIN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD,LPC,LMHC,RPTS
Contact information
Practice address
4252 E FARM ROAD 64, FAIR GROVE, MO 65648-8308
(417) 836-5256
Mailing address
2014 CYRUS WAY, DENTON, TX 76208-7568
(817) 403-0860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8288
FL
101YP2500X
Professional Counselor
170707
KY
101YP2500X
Professional Counselor
19778
TX
101YP2500X
Professional Counselor
Primary
2021021781
MO
Other
Enumeration date
03/23/2007
Last updated
07/12/2022
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