Individual
KATHRYN BHAGATRAM-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 MAIN ST STE 306, GRAND JUNCTION, CO 81501-2404
(970) 279-3377
Mailing address
300 MAIN ST STE 306, GRAND JUNCTION, CO 81501-2404
(970) 279-3377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0020524
CO
101YS0200X
School Counselor
—
—
Other
Enumeration date
05/31/2013
Last updated
02/04/2025
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