IndividualActive
Charles Wansley, BA,CSS
NPI 1144165085 · Addiction (Substance Use Disorder) Counselor · Jackson, MS
Provider details
- NPI number
- 1144165085
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BA,CSS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Phone: (601) 321-2490
Approximate (ZIP-level) locationGet directions
Mailing address
3450 Highway 80 W
Jackson, MS 39209-7201
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.