CRYSTAL JACKSON, LPC

Counselor - Professional

Active Individual
NPI: 1437796919

Practice Address

1015 CHESTNUT ST STE 1520
Philadelphia, PA 19107

Phone: (215) 601-7379

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Counselor - Professional 101YP2500X Yes 015289 (PA)

Frequently Asked Questions

NPI 1437796919 is the National Provider Identifier for CRYSTAL JACKSON, LPC, a Counselor - Professional provider located in Philadelphia, PA. This NPI was enumerated on December 4, 2019.
CRYSTAL JACKSON, LPC practices at 1015 CHESTNUT ST STE 1520, Philadelphia, PA 19107.

Quick Facts

NPI
1437796919
Type
Individual
Enumerated
Dec 4, 2019
Last Updated
Apr 19, 2023

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