Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Jacks

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1669154142

Crystal Jacks is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portsmouth, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

411 Court St
Portsmouth, OH 45662-3932
Phone: (740) 354-6685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1669154142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address411 Court St, Portsmouth, OH 45662-3932

Other providers in Portsmouth