Individual
CHRISTOPHER RYAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC, MA, NCC
Contact information
Practice address
200 CHASE PARK S STE 226, HOOVER, AL 35244-1884
(205) 734-2763
Mailing address
200 CHASE PARK S STE 226, HOOVER, AL 35244-1884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04381
AL
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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