Provider Demographics
NPI:1376637041
Name:DABBS, CHARLES WHITMAN (MSW; MPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:WHITMAN
Last Name:DABBS
Suffix:
Gender:M
Credentials:MSW; MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 FERRET RD.
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-545-4592
Mailing Address - Fax:865-545-4488
Practice Address - Street 1:9031 CROSS PARK DR.
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923
Practice Address - Country:US
Practice Address - Phone:865-545-4592
Practice Address - Fax:865-545-4488
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical