person
Elissa Nacole Jackson, RESIDENTASSISTANT
Mental Health Counselor in Tulsa, Oklahoma
NPI 1104587401

Elissa Nacole Jackson is a Mental Health Counselor based in Tulsa, OK and is specialized in Mental Health. Elissa Nacole Jackson practices in Tulsa, OK and has the professional credentials of RESIDENTASSISTANT. The NPI Number for Elissa Nacole Jackson is 1104587401 and holds a License No. (Oklahoma).

The current practice location address for Elissa Nacole Jackson is 1719 E 27Th St N, Tulsa, OK and can be reached out via phone at 918-982-7687.

Location: 1719 E 27Th St N, Tulsa, OK, 74110-1705
person
Provider Profile Details
NPI Number
1104587401
Provider Name
Elissa Nacole Jackson
Credential
RESIDENTASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
1719 E 27Th St N, Tulsa, OK, 74110-1705
Phone Number
918-982-7687
Fax Number
Provider Enumeration Date
01/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1719 E 27Th St N
City
State
Zip
74110-1705
Phone Number
918-982-7687
Fax Number
person
Provider Business Mailing Address Details
Address
1719 E 27Th St N
City
State
Zip
74110-1705
Phone Number
918-982-7687
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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