Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTIAN DEANTHONY JACKSON, CTRS
Active Sole ProprietorCHRISTIAN DEANTHONY JACKSON, CTRS is a Recreation Therapist healthcare provider located in LONG BEACH, California. NPI 1902492754 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · LONG BEACH, CA
Registration Details
- NPI Number
- 1902492754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2020 (5.6233361390467 yrs)
- Last Updated
- Dec 16, 2020
- License
-
83338 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 GOLDEN SHR STE 250LONG BEACH, CA, 908024270Browse CA providers · Browse ZIP 90802
- Phone
- 5622470713
- Fax
- 8009855002
- Primary Specialty
-
Recreation Therapist
225800000X
Other Recreation Therapist Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JEAN MARIE LIMA | RECREATION THERAPIST | 1699843706 |
| MR. MARK KEVIN MARTIN | — | 1346300043 |
| MRS. ANN ELIZABETH KINNISCHTZKE | — | 1124288030 |
| VINEECE FLORABE ROSARIO WHITENER | CTRS, RTC | 1548864861 |
| MS. ELIZABETH M GRECO | — | 1760066807 |
| JESSICA KYOMI AVILA | — | 1609585355 |
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.