Individual provider · Type 1 NPI

Crystal Jackson, MA

Counselor · Bennettsville, SC

NPI number 1972837110 Active

Practice location

1035 Cheraw St.
Bennettsville, SC 29512

Call (843) 454-0442 Map

Fax (843) 454-0212

Mailing address

P.o. Box 918
Bennettsville, SC 29512

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972837110

Crystal Jackson, MA's National Provider Identifier is 1972837110, issued on Sep 21, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bennettsville, SC. The record was last updated on Sep 22, 2009.