Search › Arizona › 101YP2500X

Christopher Jackson, MC, LPC, LISAC, NCGC

NPI 1295918530 · on the registry since 2007 · sole proprietor

Practice

Address
12301 W Bell Rd Ste A102
Surprise, AZ 85374
Phone
(602) 614-5926
Fax
(623) 583-3888
Organisation at this address
Fsl Programs
Kms Solutions, Llc
Vasco Healthcare Inc
Theresa Seward, Pllc
Aurora Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona