Christopher Jackson, LAC

NPI #1558545897 in Oxford, Arkansas

Provider Information

NPI Number: 1558545897
Entity Type: Individual
Name: Christopher Jackson, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LAC
Enumeration Date: Dec 21, 2007
Last Updated: Sep 20, 2018

Practice Location

Address: 105 HIGHWAY 9
City: Oxford
State: Arkansas
ZIP Code: 72565-0096
Phone: (501) 315-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Counselor	101Y00000X

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