Charles W Jackson in Myrtle Beach - Counseling

Charles W Jackson - NPI 1851315766

Charles W Jackson is a Counseling in Myrtle Beach, South Carolina. Charles W Jackson practices all healthcare services and medical treatments related to Counseling. The NPI Number for Charles W Jackson is 1851315766. The last update date is 2007-07-08.

Charles W Jackson's current location address is 5315 N Kings Hwy, Myrtle Beach, South Carolina. You can contact this provider via phone number 8435032000 and fax number 8432723032. The mailing address for Charles W Jackson is 5315 N Kings Hwy, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles W Jackson
Address 5315 N Kings Hwy, Myrtle Beach, South Carolina
Phone Number 8435032000
Fax Number 8432723032
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1851315766
Provider Enumeration Date 2006-07-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5315 N Kings Hwy
City Myrtle Beach
State South Carolina (SC)
Post Code 295772534
Phone Number 8435032000
Fax Number 8432723032

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 182
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
182 SC COUNSELING PSYCHOLOGIST

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FAQs about Charles W Jackson

What is the unique identifier code issued to Charles W Jackson by the Centers for Medicare & Medicaid Services?

The Charles W Jackson has been assigned the NPI (National Provider Identifier) 1851315766. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles W Jackson's facilities are geographically located?

The facilities of Charles W Jackson are physically situated at the following location: 5315 N Kings Hwy, Myrtle Beach, SC, 295772534.

What is the Charles W Jackson's area of specialization and corresponding taxonomy classification?

The Charles W Jackson's specialty field is Counseling, and it falls under the taxonomy code 103Tc1900X, which categorizes healthcare providers based on their specialties.

When did Charles W Jackson receive its 1851315766 assignment?

The Charles W Jackson was assigned its 1851315766 on 2006-07-26, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Charles W Jackson most recently updated or revised?

The details related to Charles W Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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