CHARLES JACKSON JR.
Social Worker - Clinical
Active
Individual
NPI: 1457669848
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Rehabilitation | 103TR0400X | No | - |
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1457669848 is the National Provider Identifier for CHARLES JACKSON JR., a Social Worker - Clinical provider located in N.las Vegas, NV. This NPI was enumerated on September 20, 2010.
CHARLES JACKSON JR. practices at 1407 HEALING WATER LANE, N.las Vegas, NV 89031.
Quick Facts
- NPI
- 1457669848
- Type
- Individual
- Enumerated
- Sep 20, 2010
- Last Updated
- Sep 20, 2010
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