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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336560861

Crystal Jackson, LCASA is an Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

9008 Broad Ridge Ct
Charlotte, NC 28269-5199
Phone: (336) 254-8677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3432-A (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1336560861
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCASA
Sole proprietorYes
NPI enumeratedDecember 31, 2013
Last updated in NPPESSeptember 26, 2021
Certification dateSeptember 26, 2021

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