Individual
MR. CHARLES JASON EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7703 N. LAMAR BLVD, SUITE 225, AUSTIN, TX 78752-1131
(855) 553-2753
(855) 553-2753
Mailing address
4300 SPEEDWAY - UNIT 4671, AUSTIN, TX 78765
(855) 553-2753
(855) 553-2753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
37698
TX
Other
Enumeration date
06/07/2013
Last updated
02/13/2020
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