Individual
ALEXANDRA TATIANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1332 ELMIRA ST, AURORA, CO 80010-3215
(172) 023-6752
Mailing address
1332 ELMIRA ST, AURORA, CO 80010-3215
(720) 236-7521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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