Individual provider · Type 1 NPI

Jennifer Lynette Jackson-Gustafson, M.A., L.P.C.

Professional Counselor · Aurora, CO

NPI number 1104214063 Active

Practice location

6240 S Main St
Aurora, CO 80016-5376

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0003899 (CO)

Professional Counselor: Definition to come...

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About NPI 1104214063

Jennifer Lynette Jackson-Gustafson, M.A., L.P.C.'s National Provider Identifier is 1104214063, issued on Dec 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, CO. The record was last updated on Dec 30, 2014.