Individual
CHARLES EDWARD JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 HEALING WATER LANE, N.LAS VEGAS, NV 89031
(702) 485-0883
Mailing address
1407 HEALING WATERS LN, N LAS VEGAS, NV 89031-1803
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us