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1992350151
TANDY JACKSON
THORNTON, CO
NPI
1992350151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 5165)
Enumeration Date
2019-08-05
Last Update Date
2024-04-27
Business Address
TANDY JACKSON LPC-MHSP
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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Mailing Address
TANDY JACKSON LPC-MHSP
1218 VILLA PL
NASHVILLE, TN 37212-3019
Phone number: 720-432-6292
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