Individual
CHRISTINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
355 SETTLERS RD, HOLLAND, MI 49423-3704
(616) 796-9595
(616) 796-9596
Mailing address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 456-1443
(616) 732-6392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013371
MI
Other
Enumeration date
01/23/2013
Last updated
01/24/2013
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