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Miss Kristie Michelle Jackson
Mental Health Counselor in Elk City, Oklahoma
NPI 1194001560

Kristie Michelle Jackson is a Mental Health Counselor based in Elk City, OK and is specialized in Mental Health. Kristie Michelle Jackson practices in Elk City, OK. The NPI Number for Kristie Michelle Jackson is 1194001560 and holds a License No. (Oklahoma).

The current practice location address for Kristie Michelle Jackson is 3080 W 3Rd St, Elk City, OK and can be reached out via phone at 580-225-5136 and via fax at 580-225-5138.

Location: 3080 W 3Rd St, Elk City, OK, 73648-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194001560
Provider Name
Kristie Michelle Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3080 W 3Rd St, Elk City, OK, 73648-1106
Phone Number
580-225-5136
Fax Number
580-225-5138
Provider Enumeration Date
10/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3080 W 3Rd St
City
Elk City
State
Oklahoma
Zip
73644-4323
Phone Number
580-225-5136
Fax Number
580-225-5138
person
Provider Business Mailing Address Details
Address
3080 W 3Rd St
City
Elk City
State
Oklahoma
Zip
73644-4323
Phone Number
580-225-5136
Fax Number
580-225-5138
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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