Most Relevant Information
Provider Data
| NPI Number: | 1003692021 |
| Provider Name: | CHARLES MICHAEL JANSSEN LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 1319 |
Most Important Dates
| Enumeration Date: | 09/05/2023 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
7301 SW 44TH ST
OKLAHOMA CITY
OK
731794308
Practice Location Phone/Fax
| Phone: | 4053573500 |
| Fax: |
Provider Mailing Location
7301 SW 44TH ST
OKLAHOMA CITY
OK
731794308
Provider Mailing Phone/Fax
| Phone: | 4053573500 |
| Fax: |