Individual
ELIZABETH C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
13300 W 6TH AVE # 22A, LAKEWOOD, CO 80228-1255
(303) 914-6253
Mailing address
7624 S EMERSON CIR, CENTENNIAL, CO 80122-3077
(303) 990-0906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0015154
CO
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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