person
Cody G Jackson, MA,LPC
Mental Health Counselor in Boulder, Colorado
NPI 1801484423

Cody G Jackson is a Mental Health Counselor based in Broomfield, CO and is specialized in Mental Health. Cody G Jackson practices in Boulder, CO and has the professional credentials of MA,LPC. The NPI Number for Cody G Jackson is 1801484423 and holds a License No. LPC.0016734 (Colorado).

The current practice location address for Cody G Jackson is 825 S Broadway St Ste 35, Boulder, CO and can be reached out via phone at 970-823-2782.

Location: 825 S Broadway St Ste 35, Boulder, CO, 80020-6701
person
Provider Profile Details
NPI Number
1801484423
Provider Name
Cody G Jackson
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
825 S Broadway St Ste 35, Boulder, CO, 80020-6701
Phone Number
970-823-2782
Fax Number
Provider Enumeration Date
01/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 S Broadway St Ste 35
City
State
Zip
80305-5932
Phone Number
970-823-2782
Fax Number
person
Provider Business Mailing Address Details
Address
825 S Broadway St Ste 35
City
State
Zip
80305-5932
Phone Number
970-823-2782
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC.0016734 (Colorado)
Definition
Definition to come...
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