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Contact Information

CHRISTOPHER JACKSON, LMHC
104-70 QUEENS BLVD
FOREST HILLS, NY11375
 Phone: 718-275-6010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER JACKSON · (Male)

NPI Number 1093231284
Status Active
Credentials LMHC (Licensed Mental Health Counselor)
Entity Individual
Enumeration date 08/18/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 008069
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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