Individual
KIMBERLY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
36 S 18TH AVE STE D3, BRIGHTON, CO 80601-2452
(503) 250-0510
Mailing address
16587 LEYDEN ST, BRIGHTON, CO 80602-6058
(503) 250-0510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0013863
CO
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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