Organization
EARLE
Active
Other names
C. JASON EARLE, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JASON EARLE LCSW (DIRECTOR)
(855) 553-2783
Entity
Organization
Contact information
Practice address
4100 AVENUE D, AUSTIN, TX 78751
(855) 553-2783
(855) 553-2783
Mailing address
1101 W 34TH ST STE 256, AUSTIN, TX 78705-1907
(855) 553-2753
(855) 553-2753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/12/2015
Last updated
01/22/2025
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