Individual provider · Type 1 NPI

Charles A. Wansley, BA, CSS

Addiction (Substance Use Disorder) Counselor · Jackson, MS

NPI number 1144165085 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Call (601) 321-2490 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144165085

Charles A. Wansley, BA, CSS's National Provider Identifier is 1144165085, issued on Apr 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2026.