Individual provider · Type 1 NPI

Jackson Thomas Maxwell

Addiction (Substance Use Disorder) Counselor · Denver, CO

NPI number 1245143189 Active

Practice location

121 Acoma St
Denver, CO 80223-1429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245143189

Jackson Thomas Maxwell's National Provider Identifier is 1245143189, issued on Sep 23, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Denver, CO. The record was last updated on Sep 23, 2026.