DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHRISTOPHER LADD JACKSON, MC, LPC, LISAC, NCGC

Active Sole Proprietor

MR. CHRISTOPHER LADD JACKSON, MC, LPC, LISAC, NCGC is a Professional Counselor healthcare provider located in SURPRISE, Arizona. NPI 1295918530 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SURPRISE, AZ

Registration Details

NPI Number
1295918530
Provider Type
Individual
Gender
Male
NPI Issued
Dec 10, 2007 (18.881273136222 yrs)
Last Updated
Feb 12, 2009
Licenses
LISAC-11483 (AZ)
LPC-12267 (AZ)
Sole Proprietor
Yes

Practice Information

Address
12301 W BELL RD STE A102
SURPRISE, AZ, 853749707
Browse AZ providers · Browse ZIP 85374
Phone
6026145926
Fax
6235833888
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in SURPRISE, AZ

Name Credential NPI
MRS. RHEA M GROVER EFDA, PTDA 1285745737
CLYTA A WEST LPC 1912041401
MRS. THERESA MARIE SEWARD MA, LPC 1942416847
MS. SONIA J VOYLES LPC 1316145287
MRS. JUDITH ANN LANGREDER LPC 1063602134
JOY LOWRANCE — 1780822205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.