Individual
JACKSON LAWRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12588 W DAKOTA AVE APT 205, LAKEWOOD, CO 80228-2533
(828) 280-0890
Mailing address
12588 W DAKOTA AVE APT 205, LAKEWOOD, CO 80228-2533
(828) 280-0890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0022700
CO
101YM0800X
Mental Health Counselor
LPCC.0022700
—
101YM0800X
Mental Health Counselor
—
CO
Other
Enumeration date
09/18/2023
Last updated
01/27/2025
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