CHARLES WAYNE JACKSON

SAN ANTONIO, TX
NPI1871742791
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: TX  63795)
Enumeration Date2008-09-16
Last Update Date2021-09-19
Business Address
MR. CHARLES WAYNE JACKSON LPC
16320 HUEBNER RD STE 200
SAN ANTONIO, TX 78248-1690
Phone number: 210-425-5047
Mailing 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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