Individual
DR. BRADLEY KENT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13123 E 16TH AVE # 245, AURORA, CO 80045-7106
(720) 777-6662
(720) 777-7270
Mailing address
13123 E 16TH AVE # 245, AURORA, CO 80045-7106
(720) 777-6662
(720) 777-7270
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2536
CO
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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