Individual
DR. LAURAN JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PSYD.
Contact information
Practice address
6438 S QUEBEC ST, STE 314, CENTENNIAL, CO 80111-7602
(303) 941-1325
(303) 987-0424
Mailing address
8618 COLONIAL DR, LONE TREE, CO 80124-9743
(303) 941-1325
(303) 987-0424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
992853
CO
1041C0700X
Clinical Social Worker
LCSW71932
CA
Other
Enumeration date
02/07/2007
Last updated
03/20/2017
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