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1093416224
CHARLES HENRY TALBERT JACKSON
ROCKVILLE, MD
NPI
1093416224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LGP11776)
Enumeration Date
2023-03-14
Last Update Date
2024-06-25
Business Address
Dr. CHARLES HENRY TALBERT JACKSON LGPC
11140 ROCKVILLE PIKE STE 602
ROCKVILLE, MD 20852-3184
Phone number: 301-591-6830
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Mailing Address
Dr. CHARLES HENRY TALBERT JACKSON LGPC
1461 LEEGATE RD NW
WASHINGTON, DC 20012-1211
Phone number: 301-775-7374
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