Charles Edward Jackson JR.
Rehabilitation Psychologist Clinical Social Worker
1407 Healing Water Lane
N.las Vegas
, Nevada 89031
Charles Edward Jackson JR.
Rehabilitation Psychologist Clinical Social Worker
1407 Healing Water Lane
N.las Vegas
, Nevada 89031
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About
Features
Specialties
- Rehabilitation Psychologist
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Charles Edward Jackson JR.
- 1407 Healing Waters Ln
- N Las Vegas, NV
- Zip : 89031-1803
- Phone :
Second Address
- Charles Edward Jackson JR.
- 1407 Healing Water Lane
- N.las Vegas, NV
- Zip : 89031
- Phone : (702) 485-0883
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TR0400X | Rehabilitation Psychologist | ||
| Y | 1041C0700X | Clinical Social Worker |
National Provider Identifier
| NPI | 1457669848 |
|---|---|
| Provider Name | Charles Edward Jackson JR. |
| First Address | N Las Vegas, NV 89031-1803 |
| Second Address | N.las Vegas, NV 89031 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2010 |
| Last Update Date | 20/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.