person
Mrs. Kim Marie Jackson
Counselor in Wagoner, Oklahoma
NPI 1285933176

Kim Marie Jackson is a Counselor based in Wagoner, OK. Kim Marie Jackson practices in Wagoner, OK. The NPI Number for Kim Marie Jackson is 1285933176 and holds a License No. (Oklahoma).

The current practice location address for Kim Marie Jackson is 2109 S Highway 69, Wagoner, OK and can be reached out via phone at 918-485-0242 and via fax at 918-485-0204.

Location: 2109 S Highway 69, Wagoner, OK, 74467-9310
person
Provider Profile Details
NPI Number
1285933176
Provider Name
Kim Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2109 S Highway 69, Wagoner, OK, 74467-9310
Phone Number
918-485-0242
Fax Number
918-485-0204
Provider Enumeration Date
03/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2109 S Highway 69
City
State
Zip
74467-9310
Phone Number
918-485-0242
Fax Number
918-485-0204
person
Provider Business Mailing Address Details
Address
2109 S Highway 69
City
State
Zip
74467-9310
Phone Number
918-485-0242
Fax Number
918-485-0204
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
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