Individual provider · Type 1 NPI

Charles Wayne Jackson, LPC

Professional Counselor · San Antonio, TX

NPI number 1871742791 Active

Practice location

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445

Call (210) 769-3811 Map

Other practice locations

  • 1818 S New Braunfels Ave Ste 305, San Antonio, TX 78210-3019 · (210) 769-3811

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X63795 (TX)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1871742791

Charles Wayne Jackson, LPC's National Provider Identifier is 1871742791, issued on Sep 16, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Oct 10, 2026.