TARA M JACKSON

DURANGO, CO
NPI1578900510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  0011985)
Enumeration Date2013-05-31
Last Update Date2015-05-13
Business Address
-- TARA M JACKSON MA
1911 MAIN AVE STE 248
DURANGO, CO 81301-5077
Phone number: 970-799-0765
Mailing Address
-- TARA M JACKSON MA
1911 MAIN AVE STE 248
DURANGO, CO 81301-5077
Phone number: 970-799-0765
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