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1871742791
CHARLES WAYNE JACKSON
SAN ANTONIO, TX
NPI
1871742791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 63795)
Enumeration Date
2008-09-16
Last Update Date
2021-09-19
Business Address
Mr. CHARLES WAYNE JACKSON LPC
16320 HUEBNER RD STE 200
SAN ANTONIO, TX 78248-1690
Phone number: 210-425-5047
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Mailing Address
Mr. CHARLES WAYNE JACKSON LPC
16320 HUEBNER RD STE 200
SAN ANTONIO, TX 78248-1690
Phone number: 210-425-5047
Copy
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