Individual
CRYSTAL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 BEAMAN ST, CLINTON, NC 28328-2979
(614) 556-6034
Mailing address
304 BEAMAN ST, CLINTON, NC 28328-2979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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