Robert Jackson is a Peer Specialist based in Nowata, OK. Robert Jackson practices in Nowata, OK. The NPI Number for Robert Jackson is 1174009039 and holds a License No. (Oklahoma).
The current practice location address for Robert Jackson is 114 W Delaware Ave, Nowata, OK and can be reached out via phone at 918-273-1841.
Location: 114 W Delaware Ave, Nowata, OK, 74048-2601
Provider Profile Details
NPI Number
1174009039
Provider Name
Robert Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 W Delaware Ave, Nowata, OK, 74048-2601
Phone Number
918-273-1841
Fax Number
Provider Enumeration Date
07/13/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
114 W Delaware Ave
City
State
Zip
74048
Phone Number
918-273-1841
Fax Number
Provider Business Mailing Address Details
Address
114 W Delaware Ave
City
State
Zip
74048
Phone Number
918-273-1841
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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