Jackson, Crystal A.

Jackson, Crystal A. is an sole proprietor health care provider with primary practice located at 3011 W Grand Blvd Ste 413 , Detroit MI 48202-3011. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jackson, Crystal A. can be contacted via phone (586) 257-2295.

Contact Information

Primary practice address
3011 W Grand Blvd Ste 413 Detroit MI 48202-3011
Phone: (586) 257-2295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301013473 Michigan

Profile Details

NPI number 1255595948
LBN Legal business name Jackson, Crystal A.
Credentials PH.D., LLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2008
Last updated Oct 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers