Individual
LANETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0020748
CO
Other
Enumeration date
01/24/2021
Last updated
06/18/2024
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