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Kameron R Jackson
Peer Specialist in Tecumseh, Oklahoma
NPI 1043944754

Kameron R Jackson is a Peer Specialist based in Norman, OK. Kameron R Jackson practices in Tecumseh, OK. The NPI Number for Kameron R Jackson is 1043944754 and holds a License No. (Oklahoma).

The current practice location address for Kameron R Jackson is 24962 Okay Rd, Tecumseh, OK and can be reached out via phone at 817-372-5098.

Location: 24962 Okay Rd, Tecumseh, OK, 73072-5866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043944754
Provider Name
Kameron R Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
24962 Okay Rd, Tecumseh, OK, 73072-5866
Phone Number
817-372-5098
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24962 Okay Rd
City
Tecumseh
State
Oklahoma
Zip
74873-6504
Phone Number
817-372-5098
Fax Number
person
Provider Business Mailing Address Details
Address
24962 Okay Rd
City
Tecumseh
State
Oklahoma
Zip
74873-6504
Phone Number
817-372-5098
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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