Individual provider · Type 1 NPI
Mary Jackson, LCPC, LCAC, LPC
Professional Counselor · Grand Junction, CO
NPI number
1184009367
Active
Practice location
2148 Broadway Ste C5
Grand Junction, CO 81507-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2738 (KS) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0730 (KS) |
Professional Counselor: Definition to come...
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About NPI 1184009367
Mary Jackson, LCPC, LCAC, LPC's National Provider Identifier is 1184009367, issued on Jul 29, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 3, 2026.