# DR. LAURIE BERGER-JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174561641
- **Gender:** F
- **Credential:** PHD CLINICAL PSYCHOL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2931 | CO | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 582AC | CO | Yes |
| 103TC1900X | Counseling Psychologist | 2653 | CO | — |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 07/13/2026