Krystal C Jackson
NPI #1205086659 in Plainville, Connecticut
Provider Information
- NPI Number
- 1205086659
- Entity Type
- Individual
- Name
- Krystal C Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 23, 2008
- Last Updated
- Sep 23, 2008
Practice Location
- Address
- 91 NORTHWEST DR
- City
- Plainville
- State
- Connecticut
- ZIP Code
- 06062-1534
- Phone
- (860) 793-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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