Individual
DR. CHARLES DEREK ADLETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LMFT
Contact information
Practice address
4054 MCKINNEY AVE, SUITE 102, DALLAS, TX 75204-8212
(214) 697-3997
(214) 521-9172
Mailing address
4054 MCKINNEY AVE, SUITE 102, DALLAS, TX 75204-8212
(214) 697-3997
(214) 521-9172
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5121
TX
Other
Enumeration date
10/06/2011
Last updated
04/24/2012
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