Search › Michigan › 103TC1900X
Crystal Jackson, PH.D., LLP
NPI 1255595948 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3011 W Grand Blvd Ste 413
Detroit, MI 48202 - Phone
- (586) 257-2295
- Organisation at this address
- Natlab Inc
Psych Md Pllc
Health Pro Llc
Total Health Care
Brown Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan