Provider Demographics
NPI:1801655279
Name:NEWTON, CHARLES PARKER (CMHC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:PARKER
Last Name:NEWTON
Suffix:
Gender:M
Credentials:CMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ROBIN HILL LN
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06039-2228
Mailing Address - Country:US
Mailing Address - Phone:928-830-2002
Mailing Address - Fax:
Practice Address - Street 1:19 ROBIN HILL LN
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:CT
Practice Address - Zip Code:06039-2228
Practice Address - Country:US
Practice Address - Phone:928-830-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12456067-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health