Individual provider · Type 1 NPI

Charlene Jackson

Mental Health Counselor · Austin, TX

NPI number 1982377040 Active

Practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Call (337) 424-6841 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X81162 (TX)
Mental Health Counselor Primary 101YM0800X81162 (TX)
Addiction (Substance Use Disorder) Counselor 101YA0400X15426 (TX)

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About NPI 1982377040

Charlene Jackson's National Provider Identifier is 1982377040, issued on Jul 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jul 26, 2021.