Individual provider · Type 1 NPI
Michael Leonard Jackson, PhD, LPCC, CRC, CESP
Counselor · Windsor, CO
NPI number
1104731124
Active
Practice location
5939 Amerifax Dr
Windsor, CO 80528-9123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPCC.0025257 (CO) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Windsor
About NPI 1104731124
Michael Leonard Jackson, PhD, LPCC, CRC, CESP's National Provider Identifier is 1104731124, issued on Aug 14, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Windsor, CO. The record was last updated on Aug 14, 2026.