Individual provider · Type 1 NPI

Krystal C. Jackson

Mental Health Counselor · Plainville, CT

NPI number 1205086659 Active

Practice location

91 Northwest Dr
Plainville, CT 06062-1534

Mailing address

1826 Corbin Ave
New Britain, CT 06053-2704

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205086659

Krystal C. Jackson's National Provider Identifier is 1205086659, issued on Sep 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainville, CT. The record was last updated on Sep 23, 2008.