Individual provider · Type 1 NPI

Crista Jackson

Mental Health Counselor · Mesa, AZ

NPI number 1194470443 Active

Practice location

1234 S Power Rd Ste 252
Mesa, AZ 85206-3700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194470443

Crista Jackson's National Provider Identifier is 1194470443, issued on Feb 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Feb 15, 2022.