Individual provider · Type 1 NPI
Jenna Jackson, LPC
Mental Health Counselor · Monument, CO
NPI number
1225619273
Active
Practice location
16863 Buffalo Valley Path
Monument, CO 80132-7172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0015432 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1225619273
Jenna Jackson, LPC's National Provider Identifier is 1225619273, issued on Apr 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monument, CO. The record was last updated on Apr 20, 2021.