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Individual

ANGELICA MEGAN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
5606 OLDE WADSWORTH BLVD STE 210, ARVADA, CO 80002-2546
(720) 258-6842
Mailing address
5606 OLDE WADSWORTH BLVD STE 210, ARVADA, CO 80002-2546
(720) 258-6842

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC-0019115
CO

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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