Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christian Nicole Record-Jackson, PSY0810008030

Individual provider Professional Counselor · NPI 1407344518

Christian Nicole Record-Jackson, PSY0810008030 is a Professional Counselor in Jbsa Lackland, Texas. Works from 2 locations. Licensed in California and Virginia.

Licensed in
CA, VA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810008030 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 105956 (CA)

Record details

NPI number1407344518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSY0810008030
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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