Jackson, Mary

Jackson, Mary is an sole proprietor health care provider with primary practice located at 2148 Broadway Ste C5 , Grand Junction CO 81507-1098. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Mary can be contacted via phone (970) 230-3559.

Contact Information

Primary practice address
2148 Broadway Ste C5 Grand Junction CO 81507-1098
Phone: (970) 230-3559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2738 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0730 Kansas

Profile Details

NPI number 1184009367
LBN Legal business name Jackson, Mary
Credentials LCPC, LCAC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2015
Last updated Jun 3rd, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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