Individual
CHARLES CORNELIUS PASTOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
747 HIGHWAY 59, WESTVILLE, OK 74965-1508
(918) 723-3735
Mailing address
921 W ELGIN ST, SILOAM SPRINGS, AR 72761-2229
(479) 236-6834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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