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Search › Pennsylvania › 261Q00000X

Charles Jackson, B.S., TSS

NPI 1427600378 · on the registry since 2019 · sole proprietor

Practice

Address
320 Macdade Blvd Ste 205
Collingdale, PA 19023
Phone
(610) 522-4506
Organisation at this address
Olalus Group Llc
Aviva Mental Health Services
Aviva Mental Health Services Inc
Aviva Mental Health Services Inc
Bernie'S Healthcare Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
261Q00000X
261Q00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania