Christian Jackson, BACHELOR
NPI #1427460484 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1427460484
- Entity Type
- Individual
- Name
- Christian Jackson, BACHELOR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- BACHELOR
- Enumeration Date
- May 27, 2014
- Last Updated
- May 27, 2014
Practice Location
- Address
- 1443 HARTFORD AVE
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3224
- Phone
- (401) 724-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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