Individual
MRS. JENNIFER DEVORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
791 CHAMBERS RD, AURORA, CO 80011
(303) 617-2300
(303) 617-2397
Mailing address
11059 E BETHANY DR, STE 200, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13520567
CAQH
CO
Enumeration date
09/14/2012
Last updated
06/09/2015
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