Individual
CHRISTINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4420 ROSEMAR CTR STE 201C, PARKERSBURG, WV 26104-1255
(304) 220-0041
(304) 220-0112
Mailing address
4420 ROSEMAR CTR STE 201C, PARKERSBURG, WV 26104-1255
(304) 220-0041
(304) 220-0112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2147
WV
103TC1900X
Counseling Psychologist
Primary
1232
WV
Other
Enumeration date
05/24/2007
Last updated
10/19/2023
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