Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles M. Walters III, CPSSP-F

Individual provider Peer Specialist · NPI 1285578880

Mr. Charles M. Walters III, CPSSP-F is a Peer Specialist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2400
Fax: (601) 321-2476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 908 (MS)

Record details

NPI number1285578880
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSSP-F
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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