Individual
MRS. JENNIFER LYNETTE JACKSON-GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
6240 S MAIN ST, AURORA, CO 80016-5376
(720) 274-5270
Mailing address
6240 S MAIN ST, AURORA, CO 80016-5376
(720) 274-5270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0003899
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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