Mrs. Danelle Dawn Jackson-Stith
Behavior Analyst Mental Health Counselor
427 Piney Point Ln
Woodland Park
, Colorado 80863
Mrs. Danelle Dawn Jackson-Stith
Behavior Analyst Mental Health Counselor
427 Piney Point Ln
Woodland Park
, Colorado 80863
(719) 648-3785
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About
Features
Specialties
- Mental Health Counselor
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Mrs. Danelle Dawn Jackson-Stith
- 427 Piney Point Ln
- Woodland Park, CO
- Zip : 80863-8735
- Phone : (719) 648-3785
Second Address
- Mrs. Danelle Dawn Jackson-Stith
- 427 Piney Point Ln
- Woodland Park, CO
- Zip : 80863
- Phone : (719) 648-3785
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | LPC.0013852 | CO |
| Y | 103K00000X | Behavior Analyst | 1-16-23862 | CO |
National Provider Identifier
| NPI | 1013204098 |
|---|---|
| Provider Name | Mrs. Danelle Dawn Jackson-Stith |
| First Address | Woodland Park, CO 80863-8735 |
| Second Address | Woodland Park, CO 80863 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2011 |
| Last Update Date | 13/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.