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Mary Jackson, LCPC, LCAC, LPC

Counselor, Professional in Grand Junction, CO. Individual provider (NPI-1).

NPI number1184009367
StatusActive
Last updated in NPPESJun 3, 2026

Details

NPI
1184009367
Entity type
Individual (NPI-1)
Name
Mary Jackson
Credential
LCPC, LCAC, LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 29, 2015
Certification date
Jun 3, 2026
Last updated
Jun 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional2738KSYes
101YA0400X Counselor, Addiction (Substance Use Disorder)0730KS

Practice location

2148 Broadway Ste C5
Grand Junction, CO 81507-1098

Phone 970-230-3559

Mailing address

2148 Broadway Ste C5
Grand Junction, CO 81507-1098

Phone 970-230-3559

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