Individual
PATRICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
14300 E EXPOSITION AVE, AURORA, CO 80012-2542
(720) 853-4230
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0001815
CO
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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