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Miranda Jean Jackson
Professional Counselor in Strasburg, Colorado
NPI 1750683447

Miranda Jean Jackson is a Professional Counselor based in Colorado Springs, CO and is specialized in Professional. Miranda Jean Jackson practices in Strasburg, CO. The NPI Number for Miranda Jean Jackson is 1750683447 and holds a License No. LPC.0011343 (Colorado).

The current practice location address for Miranda Jean Jackson is 55981 E Colfax Ave, Strasburg, CO and can be reached out via phone at 719-632-5700 and via fax at 719-344-7817.

Location: 55981 E Colfax Ave, Strasburg, CO, 80917-5147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750683447
Provider Name
Miranda Jean Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
55981 E Colfax Ave, Strasburg, CO, 80917-5147
Phone Number
719-632-5700
Fax Number
719-344-7817
Provider Enumeration Date
12/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28034546 05 CO
institution
Provider Business Practice Location Address Details
Address
55981 E Colfax Ave
City
Strasburg
State
Colorado
Zip
80136-8014
Phone Number
719-632-5700
Fax Number
719-344-7817
person
Provider Business Mailing Address Details
Address
55981 E Colfax Ave
City
Strasburg
State
Colorado
Zip
80136-8014
Phone Number
719-632-5700
Fax Number
719-344-7817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC.0011343 (Colorado)
Definition
Definition to come...
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