Individual
CHRISTOPHER MICHAEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC
Contact information
Practice address
44 CERRETTA ST APT 8, STAMFORD, CT 06907-1819
(914) 426-4532
Mailing address
44 CERRETTA ST APT 8, STAMFORD, CT 06907-1819
(914) 426-4532
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009864864I
INTERNATIONAL COACHING FEDERATION
NY
Enumeration date
03/26/2025
Last updated
03/26/2025
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