Individual
CHARLES A. WANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA,CSS
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2490
Mailing address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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