MR. Charles Wayne Jackson, LPC is a professional counselor in San Antonio, TX. MR. Charles Wayne Jackson, LPC NPI is 1871742791. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
16320 HUEBNER RD STE 200
SAN ANTONIO, TX
ZIP 78248-690
Phone: (210) 425-5047
Fax: (830) 215-0223
The NPI 1871742791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 9/16/2008 and was last updated on 9/19/2021.