Individual provider · Type 1 NPI

Christian Nicole Record-Jackson, PSY 0810008030

Clinical Psychologist · Jbsa Lackland, TX

NPI number 1407344518 Active

Practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Call (210) 292-6255 Map

Fax (210) 292-7934

Mailing address

3905 26th St
Chesapeake Beach, MD 20732-9383

Other practice locations

  • 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 · (240) 857-7186

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X105956 (CA)
Clinical Psychologist Primary 103TC0700X0810008030 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1407344518

Christian Nicole Record-Jackson, PSY 0810008030's National Provider Identifier is 1407344518, issued on Apr 24, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jbsa Lackland, TX. The record was last updated on May 18, 2026.