Individual
MR. CHARLES EDWARD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
10714 E 20TH ST, TULSA, OK 74128-6214
(918) 607-9789
Mailing address
10714 E 20TH ST, TULSA, OK 74128-6214
(918) 607-9789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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