Individual
DR. SHARON S. JACKSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,
Contact information
Practice address
486 TIARA DR, GRAND JUNCTION, CO 81507-8717
(720) 272-1066
Mailing address
486 TIARA DR, GRAND JUNCTION, CO 81507-8717
(720) 272-1066
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
769
CO
103TC0700X
Clinical Psychologist
769
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
769
CO
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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