| Doctor Name: | MISS CHARLENE KAY ATKINS |
| NPI Number: | 1003075482 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS PLPC |
| License Number: | 2008013577 |
| Business Practice Address: | 406a N 4th St Ste A Odessa, MO - 640761152 |
| Business Phone Number: | 8168856960 |
| Business Fax Number: | 6604293773 |
| Mailing Address: | 406a N 4th St Ste A, ODESSA |
| State: | MO |
| Postal Code: | 640761152 |
| Phone Number: | 8168856960 |
| Fax Number: | 6604293773 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2008013577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |