Provider Demographics
NPI:1780383026
Name:CHARLTON, VERONICA LYNN
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LYNN
Last Name:CHARLTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8744 GUIDE MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-9129
Mailing Address - Country:US
Mailing Address - Phone:509-280-6123
Mailing Address - Fax:
Practice Address - Street 1:310 E MAGNOLIA ST UNIT 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4580
Practice Address - Country:US
Practice Address - Phone:509-280-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician