Crystal Jackson, MA
NPI #1972837110 in Bennettsville, South Carolina
Provider Information
- NPI Number
- 1972837110
- Entity Type
- Individual
- Name
- Crystal Jackson, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA
- Enumeration Date
- Sep 21, 2009
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 1035 CHERAW ST.
- City
- Bennettsville
- State
- South Carolina
- ZIP Code
- 29512
- Phone
- (843) 454-0442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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