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

Individual provider Mental Health Counselor · NPI 1437796919

Crystal Rena Jackson, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1015 Chestnut St Ste 1520
Philadelphia, PA 19107-4315
Phone: (215) 601-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 191 Presidential Blvd Ste W10, Bala Cynwyd, PA 19004-1205 — (215) 601-7379

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 015289 (PA)
Mental Health Counselor Taxonomy 101YM0800X (PA)

Record details

NPI number1437796919
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 4, 2019
Last updated in NPPESApril 19, 2023
Certification dateMarch 27, 2023

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