Provider Demographics
NPI:1891301685
Name:DISCHER, CHARLES (LPC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:
Last Name:DISCHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1734
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-1734
Mailing Address - Country:US
Mailing Address - Phone:817-659-5006
Mailing Address - Fax:
Practice Address - Street 1:609 BARKRIDGE TRL
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4520
Practice Address - Country:US
Practice Address - Phone:817-659-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional