Jackson, Bradley Kent

Jackson, Bradley Kent is an sole proprietor health care provider with primary practice located at 13123 E 16Th Ave # 245 , Aurora CO 80045-7106. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Jackson, Bradley Kent can be contacted via phone (720) 777-6662.

Contact Information

Primary practice address
13123 E 16Th Ave # 245 Aurora CO 80045-7106
Phone: (720) 777-6662
Fax: (720) 777-7270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2536 Colorado

Profile Details

NPI number 1699217778
LBN Legal business name Jackson, Bradley Kent
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - about 9 years 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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