Watters, Chanon

Watters, Chanon is an individual health care provider with primary practice located at 86 Lake St , Burlington VT 05401-5297. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Watters, Chanon can be contacted via phone (802) 734-1786.

Contact Information

Primary practice address
86 Lake St Burlington VT 05401-5297
Phone: (802) 734-1786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000588 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0100521 Vermont

Profile Details

NPI number 1750751624
LBN Legal business name Watters, Chanon
Credentials LCMHC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2015
Last updated Oct 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers