Individual
CHARLES BARTUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC/MH CANDIDATE
Contact information
Practice address
100 N ROCKWELL AVE STE 86, OKLAHOMA CITY, OK 73127-6108
(405) 202-1294
Mailing address
4735 N HARVEY PKWY, OKLAHOMA CITY, OK 73118-8224
(405) 202-1294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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