Individual
CHARITY PENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 942-2300
(405) 942-2303
Mailing address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 942-2300
(405) 942-2303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194077073
RSS
OK
Enumeration date
01/07/2015
Last updated
01/07/2015
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