Individual
MRS. DANELLE DAWN JACKSON-STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
427 PINEY POINT LN, WOODLAND PARK, CO 80863
(719) 648-3785
Mailing address
427 PINEY POINT LN, WOODLAND PARK, CO 80863-8735
(719) 648-3785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC.0013852
CO
103K00000X
Behavior Analyst
Primary
1-16-23862
CO
Other
Enumeration date
06/29/2011
Last updated
07/13/2018
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