Individual provider · Type 1 NPI

Charles Anthony Jackson

Mental Health Counselor · Greenville, SC

NPI number 1891897708 Active

Practice location

124 Mallard Street
Greenville, SC 29601-4046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891897708

Charles Anthony Jackson's National Provider Identifier is 1891897708, issued on Sep 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Jul 8, 2007.