Individual
JILLIAN K JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RP
Contact information
Practice address
1600 SPECHT POINT RD # 130, FORT COLLINS, CO 80525-4311
(970) 494-5891
Mailing address
3172 DRAGONFLY CT, CASTLE ROCK, CO 80109-8668
(303) 475-9962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0109021
CO
Other
Enumeration date
09/28/2018
Last updated
12/30/2024
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