Record-Jackson, Christian Nicole

Record-Jackson, Christian Nicole is an individual health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Record-Jackson, Christian Nicole can be contacted via phone (240) 857-7186.

Contact Information

Primary practice address
1060 W Perimeter Rd Jb Andrews MD 20762-6602
Phone: (240) 857-7186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 105956 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810008030 Virginia

Profile Details

NPI number 1407344518
LBN Legal business name Record-Jackson, Christian Nicole
Credentials PSY 0810008030
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2018
Last updated Jul 9th, 2024 - about 2 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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