Christian Jackson

NPI #1366142168 in Basalt, Colorado

Provider Information

NPI Number
1366142168
Entity Type
Individual
Name
Christian Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 9, 2023
Last Updated
Mar 9, 2023

Practice Location

Address
227 MIDLAND AVE
City
Basalt
ZIP Code
81621-8114
Phone
(970) 925-5858

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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