NPI 1922436708 · live from the CMS NPI Registry
Jesse Charles
Counselor, Mental Health in Oklahoma City, OK. National Provider Identifier 1922436708, active.
NPI record
| NPI | 1922436708 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 2617 General Pershing Blvd, Oklahoma City, OK 73107 |
| Practice phone | 731-414-7050 |
| Mailing address | Po Box 12978, Oklahoma City, OK 73157 |
| Enumerated | October 14, 2013 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.