Individual provider · Type 1 NPI

Christian Deanthony Jackson, CTRS

Recreation Therapist · Long Beach, CA

NPI number 1902492754 Active

Practice location

330 Golden Shr Ste 250
Long Beach, CA 90802-4270

Call (562) 247-0713 Map

Fax (800) 985-5002

Mailing address

818 W 106th St
Los Angeles, CA 90044-4438

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X83338 (CA)

Recreation Therapist: 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.

16 other providers at this address

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About NPI 1902492754

Christian Deanthony Jackson, CTRS's National Provider Identifier is 1902492754, issued on Dec 16, 2020. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 16, 2020.