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Christian Jackson, BACHELOR
Counselor in Johnston, Rhode Island
NPI 1427460484

Christian Jackson is a Counselor based in Johnston, RI. Christian Jackson practices in Johnston, RI and has the professional credentials of BACHELOR. The NPI Number for Christian Jackson is 1427460484 and holds a License No. (Rhode Island).

The current practice location address for Christian Jackson is 1443 Hartford Ave, Johnston, RI and can be reached out via phone at 401-724-8400 and via fax at 401-722-5280.

Location: 1443 Hartford Ave, Johnston, RI, 02919-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427460484
Provider Name
Christian Jackson
Credential
BACHELOR
Provider Entity Type
Individual
Gender
Male
Address
1443 Hartford Ave, Johnston, RI, 02919-3224
Phone Number
401-724-8400
Fax Number
401-722-5280
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GH57134 05 RI
institution
Provider Business Practice Location Address Details
Address
1443 Hartford Ave
City
Johnston
State
Rhode Island
Zip
02919-3224
Phone Number
401-724-8400
Fax Number
401-722-5280
person
Provider Business Mailing Address Details
Address
1443 Hartford Ave
City
Johnston
State
Rhode Island
Zip
02919-3224
Phone Number
401-724-8400
Fax Number
401-722-5280
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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