Individual
DR. CRYSTAL A. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LLP
Contact information
Practice address
3011 W GRAND BLVD STE 413, DETROIT, MI 48202-3011
(586) 257-2295
Mailing address
212 WOODVIEW CT, ROCHESTER HILLS, MI 48307-4112
(586) 943-0563
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301013473
MI
Other
Enumeration date
07/11/2008
Last updated
10/13/2020
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