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Dr. Susan Rosewell-jackson, PHD
Professional Counselor in Boulder, Colorado
NPI 1851610034

Susan Rosewell-jackson is a Professional Counselor based in Boulder, CO and is specialized in Professional. Susan Rosewell-jackson practices in Boulder, CO and has the professional credentials of PHD. The NPI Number for Susan Rosewell-jackson is 1851610034 and holds a License No. 61 (Colorado).

The current practice location address for Susan Rosewell-jackson is 2322 20Th St, Boulder, CO and can be reached out via phone at 303-442-3888.

Location: 2322 20Th St, Boulder, CO, 80304-4276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851610034
Provider Name
Susan Rosewell-jackson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2322 20Th St, Boulder, CO, 80304-4276
Phone Number
303-442-3888
Fax Number
Provider Enumeration Date
05/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61 01 CO LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
2322 20Th St
City
Boulder
State
Colorado
Zip
80304-4276
Phone Number
303-442-3888
Fax Number
person
Provider Business Mailing Address Details
Address
2322 20Th St
City
Boulder
State
Colorado
Zip
80304-4276
Phone Number
303-442-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
61 (Colorado)
Definition
Definition to come...
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