Individual
MRS. JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFTC
Contact information
Practice address
3434 47TH ST, BOULDER, CO 80301-1880
(720) 679-6266
Mailing address
6178 HABITAT DR, BOULDER, CO 80301-3208
(530) 417-3188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014624
CO
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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