Individual
KRISTINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, MSLC
Contact information
Practice address
5160 DOGWOOD TRL, EIGHT MILE, AL 36613-8505
(205) 267-3100
Mailing address
5160 DOGWOOD TRL, EIGHT MILE, AL 36613-8505
(205) 267-3100
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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