Provider Demographics
NPI:1902239023
Name:ABSON, CHARLOTTE YVETTE (RAS)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:YVETTE
Last Name:ABSON
Suffix:
Gender:F
Credentials:RAS
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:YVETTE
Other - Last Name:ABSON-STARKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:340 S RENO ST
Mailing Address - Street 2:APT 411
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-1174
Mailing Address - Country:US
Mailing Address - Phone:213-400-3479
Mailing Address - Fax:
Practice Address - Street 1:2307 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3119
Practice Address - Country:US
Practice Address - Phone:213-351-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator