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Individual

KRYSTINA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2911 DIXWELL AVE STE 301, HAMDEN, CT 06518-3130
(203) 843-5810
Mailing address
56 ROCKWELL AVE, NAUGATUCK, CT 06770-2708
(860) 230-5011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8881
CT
104100000X
Social Worker
Primary
8881
CT

Other

Enumeration date
08/19/2024
Last updated
04/23/2026
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