Individual provider · Type 1 NPI

Charles M. Walters Iii, CPSSP-F

Peer Specialist · Jackson, MS

NPI number 1285578880 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2400 Map

Fax (601) 321-2476

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X908 (MS)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1285578880

Charles M. Walters Iii, CPSSP-F's National Provider Identifier is 1285578880, issued on Apr 15, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2026.