Individual provider · Type 1 NPI
Charles Edwin Myers, PhD, LPC, LMHC, RPTS
Professional Counselor · Fair Grove, MO
NPI number
1679690820
Active
Practice location
4252 E Farm Road 64
Fair Grove, MO 65648-8308
Mailing address
2014 Cyrus Way
Denton, TX 76208-7568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8288 (FL) |
| Professional Counselor Primary | 101YP2500X | 2021021781 (MO) |
| Professional Counselor | 101YP2500X | 170707 (KY) |
| Professional Counselor | 101YP2500X | 19778 (TX) |
Professional Counselor: Definition to come...
About NPI 1679690820
Charles Edwin Myers, PhD, LPC, LMHC, RPTS's National Provider Identifier is 1679690820, issued on Mar 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fair Grove, MO. The record was last updated on Jul 12, 2022.