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Jessica Ann Jackson
Counselor in Durant, Oklahoma
NPI 1073760062

Jessica Ann Jackson is a Counselor based in Durant, OK. Jessica Ann Jackson practices in Durant, OK. The NPI Number for Jessica Ann Jackson is 1073760062 and holds a License No. (Oklahoma).

The current practice location address for Jessica Ann Jackson is 1105 Lynnwood St, Durant, OK and can be reached out via phone at 580-924-6263 and via fax at 580-924-6775.

Location: 1105 Lynnwood St, Durant, OK, 74701-2919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073760062
Provider Name
Jessica Ann Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1105 Lynnwood St, Durant, OK, 74701-2919
Phone Number
580-924-6263
Fax Number
580-924-6775
Provider Enumeration Date
08/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1105 Lynnwood St
City
Durant
State
Oklahoma
Zip
74701-2919
Phone Number
580-924-6263
Fax Number
580-924-6775
person
Provider Business Mailing Address Details
Address
1105 Lynnwood St
City
Durant
State
Oklahoma
Zip
74701-2919
Phone Number
580-924-6263
Fax Number
580-924-6775
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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