Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES W JACKSON, PH.D.
Active Sole ProprietorDR. CHARLES W JACKSON, PH.D. is a Counseling Psychologist healthcare provider located in CONWAY, South Carolina. NPI 1851315766 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · CONWAY, SC
Registration Details
- NPI Number
- 1851315766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.061629027048 yrs)
- Last Updated
- Jul 8, 2007
- License
-
182 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 UNIVERSITY PLAZA DRCONWAY, SC, 295268978Browse SC providers · Browse ZIP 29526
- Phone
- 8433472550
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.