Healthcare Provider Details

I. General information

NPI: 1104731124
Provider Name (Legal Business Name): MICHAEL LEONARD JACKSON PHD, LPCC, CRC, CESP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5939 AMERIFAX DR
WINDSOR CO
80528-9123
US

IV. Provider business mailing address

5939 AMERIFAX DR
WINDSOR CO
80528-9123
US

V. Phone/Fax

Practice location:
  • Phone: 414-232-3728
  • Fax:
Mailing address:
  • Phone: 414-232-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC.0025257
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: