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Tara Jackson Llc
Professional Counselor in Durango, Colorado
NPI 1578147393

Tara Jackson Llc is a Professional Counselor based in Durango, CO and is specialized in Professional. Tara Jackson Llc practices in Durango, CO. The NPI Number for Tara Jackson Llc is 1578147393 and holds a License No. (Colorado).

The current practice location address for Tara Jackson Llc is 2 Woodland Cir, Durango, CO and can be reached out via phone at 970-799-0765.

Location: 2 Woodland Cir, Durango, CO, 81301-4154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578147393
Provider Name
Tara Jackson Llc
Credential
Provider Entity Type
Organization
Address
2 Woodland Cir, Durango, CO, 81301-4154
Phone Number
970-799-0765
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Woodland Cir
City
Durango
State
Colorado
Zip
81301-4154
Phone Number
970-799-0765
Fax Number
person
Provider Business Mailing Address Details
Address
2 Woodland Cir
City
Durango
State
Colorado
Zip
81301-4154
Phone Number
970-799-0765
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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