person
Mr. Charles Wayne Jackson, LPC
Professional Counselor in San Antonio, Texas
NPI 1871742791

Charles Wayne Jackson is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Charles Wayne Jackson practices in San Antonio, TX and has the professional credentials of LPC. The NPI Number for Charles Wayne Jackson is 1871742791 and holds a License No. 63795 (Texas).

The current practice location address for Charles Wayne Jackson is 16320 Huebner Rd Ste 200, San Antonio, TX and can be reached out via phone at 210-425-5047 and via fax at 830-215-0223.

Location: 16320 Huebner Rd Ste 200, San Antonio, TX, 78248-1690
person
Provider Profile Details
NPI Number
1871742791
Provider Name
Charles Wayne Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
16320 Huebner Rd Ste 200, San Antonio, TX, 78248-1690
Phone Number
210-425-5047
Fax Number
830-215-0223
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16320 Huebner Rd Ste 200
City
State
Zip
78248-1690
Phone Number
210-425-5047
Fax Number
830-215-0223
person
Provider Business Mailing Address Details
Address
16320 Huebner Rd Ste 200
City
State
Zip
78248-1690
Phone Number
210-425-5047
Fax Number
830-215-0223
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
63795 (Texas)
Definition
Definition to come...
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