Individual
JAMAL TIMOTHY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4470 S VALDAI WAY, AURORA, CO 80015-5571
(720) 862-7686
Mailing address
4470 S VALDAI WAY, AURORA, CO 80015-5571
(720) 862-7686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926520
CO
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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