CHARLOTTE LYNN WATTERS NPI 1588119077

NPI Information

NPI: 1588119077
Provider Name: CHARLOTTE LYNN WATTERS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
505 S PACIFIC AVE # 105
SAN PEDRO, CA
ZIP 90731
Phone: (310) 519-8723
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Charlotte Lynn Watters is an addiction (substance use disorder) counselor in San Pedro, CA. Charlotte Lynn Watters NPI is 1588119077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 S PACIFIC AVE # 105
SAN PEDRO, CA
ZIP 90731-656
Phone: (310) 519-8723

The enumeration date for this NPI number is 8/24/2016 and was last updated on 10/20/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1364260919	CALIFORNIA	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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