Provider Demographics
NPI:1992910848
Name:MCOSKER, CHARITA LOU (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHARITA
Middle Name:LOU
Last Name:MCOSKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33483 JOHNSTON RD
Mailing Address - Street 2:P.O. BOX 351
Mailing Address - City:ALVA
Mailing Address - State:OK
Mailing Address - Zip Code:73717-1115
Mailing Address - Country:US
Mailing Address - Phone:580-327-0565
Mailing Address - Fax:580-327-1010
Practice Address - Street 1:33483 JOHNSTON RD
Practice Address - Street 2:
Practice Address - City:ALVA
Practice Address - State:OK
Practice Address - Zip Code:73717-1115
Practice Address - Country:US
Practice Address - Phone:580-327-0565
Practice Address - Fax:580-327-1010
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional