Christopher Jackson
NPI #1003782095 in Richmond Hill, New York
Provider Information
- NPI Number
- 1003782095
- Entity Type
- Individual
- Name
- Christopher Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 11711 MYRTLE AVE
- City
- Richmond Hill
- State
- New York
- ZIP Code
- 11418-1751
- Phone
- (718) 847-9233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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