Individual provider · Type 1 NPI

Charles Jackson

Mental Health Counselor · Las Vegas, NV

NPI number 1114227220 Active

Practice location

437 Rossmore Dr
Las Vegas, NV 89110-4120

Call (702) 445-6594 Map

Fax (702) 445-6970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1114227220

Charles Jackson's National Provider Identifier is 1114227220, issued on Oct 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 25, 2010.