Individual
CHARLOTTE ELAINE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, BHRS
Contact information
Practice address
11223 N PENN AVE APT 806, 3621 N. KELLY AVE., OKLAHOMA CITY, OK 73120-7736
(405) 524-5525
Mailing address
11223 N PENN AVE APT 806, OKLAHOMA CITY, OK 73120-7736
(405) 503-1791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OK
251B00000X
Case Management Agency
Primary
251B00000X
OK
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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