MR. CHANON WATTERS LCMHC LADC NPI 1750751624

NPI Information

NPI: 1750751624
Provider Name: MR. CHANON WATTERS, LCMHC, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
86 LAKE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 734-1786
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MR. Chanon Watters, LCMHC, LADC is a mental health counselor in Burlington, VT with 14 years of experience. MR. Chanon Watters, LCMHC, LADC NPI is 1750751624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

86 LAKE ST
BURLINGTON, VT
ZIP 05401-297
Phone: (802) 734-1786

The NPI 1750751624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/4/2015 and was last updated on 10/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000588	VERMONT	No
2	101YM0800X	Counselor	Mental Health	068.0100521	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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