CHRISTOPHER JACKSON

SOUTHLAKE, TX
NPI1174217996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  83240)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
CHRISTOPHER JACKSON
1100 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX 76092-6381
Phone number: 817-756-1293
Mailing Address
CHRISTOPHER JACKSON
14320 PADDEN PARK LN
ROANOKE, TX 76262-2140
Phone number:
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