Individual
LETITIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13731 E RICE PL STE 200, AURORA, CO 80015-1077
(720) 949-1707
(206) 392-3177
Mailing address
13731 E RICE PL STE 200, AURORA, CO 80015-1077
(720) 949-1707
(206) 392-3177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5045
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5045
LPC LICENSE
CO
Enumeration date
09/17/2008
Last updated
11/04/2019
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