MR. Charles James Threatt III, LPCC, PPS
NPI #1346808706 in Encinitas, California
Provider Information
- NPI Number
- 1346808706
- Entity Type
- Individual
- Name
- MR. Charles James Threatt III, LPCC, PPS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC, PPS
- Enumeration Date
- May 31, 2019
- Last Updated
- Sep 9, 2024
Practice Location
- Address
- 1277 ORCHARD GLEN CIR
- City
- Encinitas
- State
- California
- ZIP Code
- 92024-5661
- Phone
- (510) 255-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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