Individual
MR. ANTHONY L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7862 W MANSFIELD PKWY, LAKEWOOD, CO 80235-1934
(303) 987-4551
Mailing address
7862 W MANSFIELD PKWY, LAKEWOOD, CO 80235-1934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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