Doctor Name: | CHARLES E PARKHURST |
NPI Number: | 1225357320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2038 |
Business Practice Address: | 1021 E Highway 66 Elk City, OK - 736441906 |
Business Phone Number: | 5802254337 |
Business Fax Number: | 5802254338 |
Mailing Address: | 132 Ridgeline Dr, WEATHERFORD |
State: | OK |
Postal Code: | 730969223 |
Phone Number: | 5802254337 |
Fax Number: | 5802254338 |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |