Individual provider · Type 1 NPI

Tandy Jackson, LPC-MHSP

Mental Health Counselor · Thornton, CO

NPI number 1992350151 Active

Practice location

8931 Huron St
Thornton, CO 80260-6806

Mailing address

1218 Villa Pl
Nashville, TN 37212-3019

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5165 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1992350151

Tandy Jackson, LPC-MHSP's National Provider Identifier is 1992350151, issued on Aug 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thornton, CO. The record was last updated on Apr 27, 2024.