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Individual
MR. CHANON WATTERS
Active
Individual
MR. CHANON WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000588
VT
101YM0800X
Mental Health Counselor
Primary
068.0100521
VT
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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