Christian Deanthony Jackson, CTRS is a recreation therapist in Long Beach, CA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Christian Deanthony Jackson, CTRS NPI is 1902492754. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
330 GOLDEN SHR STE 250 LONG BEACH, CA ZIP 90802-270 Phone: (562) 247-0713 Fax: (800) 985-5002
The enumeration date for this NPI number is 12/16/2020 and was last updated on 12/16/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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