CHRISTIAN RECORD-JACKSON, PSY 0810008030
Psychologist - Clinical
Active
Individual
NPI: 1407344518
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | No | 105956 (CA) |
| Psychologist - Clinical | 103TC0700X | Yes | 0810008030 (VA) |
Frequently Asked Questions
NPI 1407344518 is the National Provider Identifier for CHRISTIAN RECORD-JACKSON, PSY 0810008030, a Psychologist - Clinical provider located in Jb Andrews, MD. This NPI was enumerated on April 24, 2018.
CHRISTIAN RECORD-JACKSON, PSY 0810008030 practices at 1060 W PERIMETER RD, Jb Andrews, MD 20762.
Quick Facts
- NPI
- 1407344518
- Type
- Individual
- Enumerated
- Apr 24, 2018
- Last Updated
- Jul 9, 2024
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