Individual
CHARLES JACKSON HOUSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 GLEN OAK BLVD STE 120, HENDERSONVILLE, TN 37075-6421
(931) 627-2861
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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