Individual
CHRISTOPHER P JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
23 SUMMER ST, BARRE, VT 05641-3741
(802) 479-4055
(802) 661-5699
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 479-4055
(802) 661-5699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0136841
VT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/20/2024
Last updated
09/09/2025
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