Individual
CHRISTINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Mailing address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12491-M
AR
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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