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Organization
TARA JACKSON LLC
Active
Organization
TARA JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA JACKSON (OWNER)
(970) 799-0765
Entity
Organization
Contact information
Practice address
2 WOODLAND CIR, DURANGO, CO 81301-4154
(970) 799-0765
Mailing address
2 WOODLAND CIR, DURANGO, CO 81301-4154
(970) 799-0765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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