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: Clinic/Center
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