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Deetra Jackson
Counselor in Idabel, Oklahoma
NPI 1326485582

Deetra Jackson is a Counselor based in Antlers, OK. Deetra Jackson practices in Idabel, OK. The NPI Number for Deetra Jackson is 1326485582 and holds a License No. (Oklahoma).

The current practice location address for Deetra Jackson is 411 S Central Ave, Idabel, OK and can be reached out via phone at 580-286-5045 and via fax at 580-286-5721.

Location: 411 S Central Ave, Idabel, OK, 74523-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326485582
Provider Name
Deetra Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 S Central Ave, Idabel, OK, 74523-3818
Phone Number
580-286-5045
Fax Number
580-286-5721
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5045
Fax Number
580-286-5721
person
Provider Business Mailing Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5045
Fax Number
580-286-5721
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.
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