Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Edward Jackson Jr.

Individual provider Rehabilitation Psychologist · NPI 1457669848

Charles Edward Jackson Jr. is a Rehabilitation Psychologist in N las Vegas, Nevada. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1407 Healing Water Ln
N las Vegas, NV 89031
Phone: (702) 485-0883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Rehabilitation Psychologist Taxonomy 103TR0400X

Record details

NPI number1457669848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2010
Last updated in NPPESSeptember 20, 2010

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