Search › Florida › 101YM0800X
Charlie Jackson, RMHCI
NPI 1548604226 · on the registry since 2013
Practice
- Address
- 1831 N Crystal Lake Dr
Lakeland, FL 33801 - Phone
- (863) 519-0575
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171M00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-11
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 Florida