Individual
CHERYL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,CAC III
Contact information
Practice address
2206 VICTOR ST, AURORA, CO 80045-7400
(303) 617-2300
(303) 617-2397
Mailing address
2206 VICTOR ST, AURORA, CO 80045-7400
(303) 617-2300
(303) 617-2397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5440
CO
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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