| C. Jason Earle, Lcsw | |
|
7703 N. Lamar Blvd Suite 225 Austin TX 78752-3529 | |
| (855) 553-2783 | |
| (855) 553-2783 |
| Full Name | C. Jason Earle, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7703 N. Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Charles Jason Earle (DIRECTOR) |
| Authorized Official Contact | 8555532783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Jason Earle, Lcsw Po Box 4671 Austin TX 78765-4671 Ph: () - | C. Jason Earle, Lcsw 7703 N. Lamar Blvd Suite 225 Austin TX 78752-3529 Ph: (855) 553-2783 |
| NPI Number | 1518330554 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518330554 | NPI | - | NPPES |
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