Individual provider · Type 1 NPI

Crystal Rena Jackson, LPC

Professional Counselor · Philadelphia, PA

NPI number 1437796919 Active

Practice location

1015 Chestnut St Ste 1520
Philadelphia, PA 19107-4315

Call (215) 601-7379 Map

Other practice locations

  • 191 Presidential Blvd Ste W10, Bala Cynwyd, PA 19004-1205 · (215) 601-7379

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X015289 (PA)

Professional Counselor: Definition to come...

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About NPI 1437796919

Crystal Rena Jackson, LPC's National Provider Identifier is 1437796919, issued on Dec 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 19, 2023.