Individual
CHARLES C WATRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
3350 AIRPORT DR, BELLINGHAM, WA 98226-7696
(360) 734-5458
(360) 734-5298
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60544158
WA
104100000X
Social Worker
Primary
LW60530862
WA
Other
Enumeration date
10/23/2012
Last updated
03/31/2016
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