Individual
AMBER R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12500 E ILIFF AVE, AURORA, CO 80014-1268
(970) 494-5891
(970) 494-5895
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(619) 695-8010
(619) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017796
CO
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
12/05/2019
Last updated
01/11/2022
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