Individual
MRS. JACKLYN JANE ROBIRDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CLINICAL SO
Contact information
Practice address
423 PALMER ST., DELTA, CO 81416
(970) 250-2711
Mailing address
423 PALMER ST., DELTA, CO 81416
(970) 250-2711
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1308
CO
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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