Individual
ANGELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PO BOX 511, DENVER, CO 80201-0511
(919) 903-3838
Mailing address
PO BOX 511, DENVER, CO 80201-0511
(919) 903-3838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15476
NC
101YM0800X
Mental Health Counselor
Primary
804
HI
101YP2500X
Professional Counselor
0701013995
VA
101YP2500X
Professional Counselor
14797
MD
101YP2500X
Professional Counselor
86639
TX
Other
Enumeration date
12/03/2020
Last updated
04/21/2026
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