Individual
MRS. JENNIFER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1105 MCMURDO CIR, CASTLE ROCK, CO 80108-2821
(720) 308-4543
Mailing address
1105 MCMURDO CIR, CASTLE ROCK, CO 80108-2821
(720) 308-4543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001700
CO
Other
Enumeration date
02/19/2014
Last updated
06/05/2019
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