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Malia Jackson, MA,LPCC
Student in an Organized Health Care Education/Training Program in Castle Rock, Colorado
NPI 1194445445

Malia Jackson is a Student in an Organized Health Care Education/Training Program based in Centennial, CO. Malia Jackson practices in Castle Rock, CO and has the professional credentials of MA,LPCC. The NPI Number for Malia Jackson is 1194445445 and holds a License No. (Colorado).

The current practice location address for Malia Jackson is 333 Perry St Ste 215, Castle Rock, CO and can be reached out via phone at 720-662-7862 and via fax at 720-573-2862.

Location: 333 Perry St Ste 215, Castle Rock, CO, 80112-6755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194445445
Provider Name
Malia Jackson
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Female
Address
333 Perry St Ste 215, Castle Rock, CO, 80112-6755
Phone Number
720-662-7862
Fax Number
720-573-2862
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 Perry St Ste 215
City
Castle Rock
State
Colorado
Zip
80104-2434
Phone Number
720-662-7862
Fax Number
720-573-2862
person
Provider Business Mailing Address Details
Address
333 Perry St Ste 215
City
Castle Rock
State
Colorado
Zip
80104-2434
Phone Number
720-662-7862
Fax Number
720-573-2862
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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