Doctor Name: | MS. ROBERTA L CHARLES |
NPI Number: | 1013054501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ME, CAS,LMHC |
License Number: | LH00006602 |
Business Practice Address: | 407 Charles Rd Port Angeles, WA - 983632724 |
Business Phone Number: | 3604605963 |
Business Fax Number: | |
Mailing Address: | 407 Charles Rd, PORT ANGELES |
State: | WA |
Postal Code: | 983632724 |
Phone Number: | 3604605963 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00006602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |