Chrystina Jackson, LMSW

NPI #1548867013 in Bohemia, New York

Provider Information

NPI Number: 1548867013
Entity Type: Individual
Name: Chrystina Jackson, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 7, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 80 ORVILLE DR
City: Bohemia
State: New York
ZIP Code: 11716-2534
Phone: (631) 456-3844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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