Individual
CHRISTOPHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
105 HIGHWAY 9, OXFORD, AR 72565-0096
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AR
101YP2500X
Professional Counselor
Primary
P1109067
AR
Other
Enumeration date
12/21/2007
Last updated
09/20/2018
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