Jackson, Crystal I
Jackson, Crystal I is an sole proprietor health care provider with primary practice located at 80 Industrial Park Dr Suite 2B, Waldorf MD 20602-2760. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jackson, Crystal I can be contacted via phone (202) 716-4104.Contact Information
Primary practice address
80 Industrial Park Dr Suite 2B
Waldorf MD 20602-2760
Phone: (202) 716-4104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | G13167 | Maryland |
Profile Details
| NPI number | 1811204936 |
|---|---|
| LBN Legal business name | Jackson, Crystal I |
| Credentials | LGSW-G |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2010 |
| Last updated | Sep 10th, 2010 - about 16 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.
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