Individual
JESSE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(731) 414-7050
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(731) 414-7050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/14/2013
Last updated
07/21/2022
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