Individual
MR. CHARLES EDWARD SMILES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 HONOR HEIGHTS DRIVE, MUSKOGEE, OK 74401
(918) 577-3000
(918) 628-1138
Mailing address
108 SW 8TH ST, WAGONER, OK 74467
(918) 577-3000
(918) 628-1138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
OK
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
07/21/2022
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