Jackson, Christopher Ladd

Jackson, Christopher Ladd is an sole proprietor health care provider with primary practice located at 12301 W Bell Rd Ste A102 , Surprise AZ 85374-9707. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jackson, Christopher Ladd can be contacted via phone (602) 614-5926.

Contact Information

Primary practice address
12301 W Bell Rd Ste A102 Surprise AZ 85374-9707
Phone: (602) 614-5926
Fax: (623) 583-3888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11483 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-12267 Arizona

Profile Details

NPI number 1295918530
LBN Legal business name Jackson, Christopher Ladd
Credentials MC, LPC, LISAC, NCGC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2007
Last updated Feb 12th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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