CRYSTAL JACKS

PORTSMOUTH, OH
NPI1669154142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies261QM0801X 
Enumeration Date2023-08-03
Last Update Date2023-08-03
Business Address
CRYSTAL JACKS
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Mailing Address
CRYSTAL JACKS
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
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