Provider Demographics
NPI:1851648000
Name:ESCOE, CHARLOTTE (D MIN)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:ESCOE
Suffix:
Gender:F
Credentials:D MIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 E I 44 SERVICE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-7400
Mailing Address - Country:US
Mailing Address - Phone:405-285-9880
Mailing Address - Fax:405-285-9887
Practice Address - Street 1:1401 E I 44 SERVICE RD
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-7400
Practice Address - Country:US
Practice Address - Phone:405-285-9880
Practice Address - Fax:405-285-9887
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor