Provider Demographics
NPI:1427187814
Name:BRITT, CHARLES MORRISON (MA, LMFT)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:MORRISON
Last Name:BRITT
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4406
Mailing Address - Country:US
Mailing Address - Phone:360-336-3882
Mailing Address - Fax:866-492-5137
Practice Address - Street 1:924 S 11TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4406
Practice Address - Country:US
Practice Address - Phone:360-336-3882
Practice Address - Fax:866-492-5137
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist