BENJAMIN JACKSON

WHEAT RIDGE, CO
NPI1265253512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPCC.0022681)
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
BENJAMIN JACKSON
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
Mailing Address
BENJAMIN JACKSON
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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