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Individual

MR. CLIFTON EARL CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
435 MURPHY RD STE B1344, STAFFORD, TX 77477-5421
(832) 440-0827
(832) 415-2472
Mailing address
1415 KENNEWICK CT, SUGAR LAND, TX 77479-5428
(832) 721-7524
(832) 415-2472

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63569
TX
101YM0800X
Mental Health Counselor
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689769184
NPI
TX
05
189923903
TX
Enumeration date
10/03/2006
Last updated
08/12/2025
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