Organization
CRYSTAL R JACKSON HEALTHY LIFESTYLE LLC
Active
Other names
Crystal R Jackson Healthy Lifestyle LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RENA JACKSON LPC (PROFESSIONAL MENTAL HEALTH COUNSEOR)
(215) 601-7379
Entity
Organization
Contact information
Practice address
610 YORK RD STE 400, JENKINTOWN, PA 19046-2866
(484) 561-1280
Mailing address
610 YORK RD STE 400, JENKINTOWN, PA 19046-2866
(484) 561-1280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/29/2025
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