Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES EDWARD JACKSON JR.
ActiveClinical Social Worker · N.LAS VEGAS, NV
Registration Details
- NPI Number
- 1457669848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2010 (15.584334202521 yrs)
- Last Updated
- Sep 20, 2010
Practice Information
- Address
-
1407 HEALING WATER LANEN.LAS VEGAS, NV, 89031Browse NV providers · Browse ZIP 89031
- Phone
- 7024850883
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.