Miranda Jean Jackson

NPI #1750683447 in Strasburg, Colorado

Provider Information

NPI Number: 1750683447
Entity Type: Individual
Name: Miranda Jean Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 1, 2010
Last Updated: Apr 4, 2017

Practice Location

Address: 55981 E COLFAX AVE
City: Strasburg
State: Colorado
ZIP Code: 80136-8014
Phone: (719) 632-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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