Individual provider · Type 1 NPI

Anthony L. Jackson

Mental Health Counselor · Lakewood, CO

NPI number 1295973410 Active

Practice location

7862 W Mansfield Pkwy
Lakewood, CO 80235-1934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295973410

Anthony L. Jackson's National Provider Identifier is 1295973410, issued on Jan 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Jan 26, 2009.