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Crystal Jackson, MA
Counselor in Bennettsville, South Carolina
NPI 1972837110

Crystal Jackson is a Counselor based in Bennettsville, SC. Crystal Jackson practices in Bennettsville, SC and has the professional credentials of MA. The NPI Number for Crystal Jackson is 1972837110 and holds a License No. (South Carolina).

The current practice location address for Crystal Jackson is 1035 Cheraw St., Bennettsville, SC and can be reached out via phone at 843-454-0442 and via fax at 843-454-0212.

Location: 1035 Cheraw St., Bennettsville, SC, 29512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972837110
Provider Name
Crystal Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1035 Cheraw St., Bennettsville, SC, 29512
Phone Number
843-454-0442
Fax Number
843-454-0212
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405127 05 SC
institution
Provider Business Practice Location Address Details
Address
1035 Cheraw St.
City
Bennettsville
State
South Carolina
Zip
29512
Phone Number
843-454-0442
Fax Number
843-454-0212
person
Provider Business Mailing Address Details
Address
1035 Cheraw St.
City
Bennettsville
State
South Carolina
Zip
29512
Phone Number
843-454-0442
Fax Number
843-454-0212
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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