Individual provider · Type 1 NPI

Crystal Jacks

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1669154142 Active

Practice location

411 Court St
Portsmouth, OH 45662-3932

Call (740) 354-6685 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669154142

Crystal Jacks's National Provider Identifier is 1669154142, issued on Aug 3, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Aug 3, 2023.