Individual provider · Type 1 NPI

Charlie Petty

Mental Health Counselor · Oklahoma City, OK

NPI number 1114588068 Active

Practice location

1305 N Shartel Ave
Oklahoma City, OK 73103-2403

Call (405) 702-6677 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114588068

Charlie Petty's National Provider Identifier is 1114588068, issued on Jun 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 21, 2019.