| NPI | 1295943496 |
|---|---|
| Professional Name | CHRISTOPHER CASEY JACKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00001054) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00004476) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |