Lori Ellen Jackson, MA, MFT
NPI #1659695070 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1659695070
- Entity Type
- Individual
- Name
- Lori Ellen Jackson, MA, MFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MA, MFT
- Enumeration Date
- Mar 15, 2010
- Last Updated
- Jun 13, 2011
Practice Location
- Address
- 6625 W 26TH AVE
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80214-8014
- Phone
- (720) 232-5908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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