Most Relevant Information
Provider Data
| NPI Number: | 1003249392 |
| Provider Name: | CHARLES L DICK MS, LADC/MH-C, CMA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CANDIDATE |
Most Important Dates
| Enumeration Date: | 08/09/2013 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
948 W HEFNER RD
OKLAHOMA CITY
OK
731146927
Practice Location Phone/Fax
| Phone: | 4053539500 |
| Fax: |
Provider Mailing Location
948 W HEFNER RD
OKLAHOMA CITY
OK
731146927
Provider Mailing Phone/Fax
| Phone: | 4059211131 |
| Fax: |