Individual
JA'WANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, PLPC
Contact information
Practice address
11959 E KANSAS DR APT D, AURORA, CO 80012-4207
(580) 695-2680
(712) 213-2175
Mailing address
11959 E KANSAS DR APT D, AURORA, CO 80012-4207
(580) 695-2680
(712) 213-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0001384
CO
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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