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1720848963
PATRICIA JACKSON
AURORA, CO
NPI
1720848963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0001815)
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
PATRICIA JACKSON CAS
14300 E EXPOSITION AVE
AURORA, CO 80012-2542
Phone number: 720-853-4230
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Mailing Address
PATRICIA JACKSON CAS
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886
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