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1093231284
CHRISTOPHER JACKSON
FOREST HILLS, NY
NPI
1093231284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 008069)
Enumeration Date
2017-08-18
Last Update Date
2022-07-21
Business Address
CHRISTOPHER JACKSON LMHC
104-70 QUEENS BLVD
FOREST HILLS, NY 11375
Phone number: 718-275-6010
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Mailing Address
CHRISTOPHER JACKSON LMHC
475 E MAIN ST
PATCHOGUE, NY 11772-3121
Phone number: 516-363-2001
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