Individual
JENNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16863 BUFFALO VALLEY PATH, MONUMENT, CO 80132-7172
(719) 310-8276
Mailing address
16863 BUFFALO VALLEY PATH, MONUMENT, CO 80132-7172
(719) 310-8276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0015432
CO
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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