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Christopher Jackson
Mental Health Counselor in Southlake, Texas
NPI 1174217996

Christopher Jackson is a Mental Health Counselor based in Roanoke, TX and is specialized in Mental Health. Christopher Jackson practices in Southlake, TX. The NPI Number for Christopher Jackson is 1174217996 and holds a License No. 83240 (Texas).

The current practice location address for Christopher Jackson is 1100 E Southlake Blvd Ste 200, Southlake, TX and can be reached out via phone at 817-756-1293.

Location: 1100 E Southlake Blvd Ste 200, Southlake, TX, 76262-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174217996
Provider Name
Christopher Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 E Southlake Blvd Ste 200, Southlake, TX, 76262-2140
Phone Number
817-756-1293
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 E Southlake Blvd Ste 200
City
Southlake
State
Texas
Zip
76092-6381
Phone Number
817-756-1293
Fax Number
person
Provider Business Mailing Address Details
Address
1100 E Southlake Blvd Ste 200
City
Southlake
State
Texas
Zip
76092-6381
Phone Number
817-756-1293
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
83240 (Texas)
Definition
Definition to come...
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