person
Mrs. Candice Jackson
Counselor in Oklahoma City, Oklahoma
NPI 1346490042

Candice Jackson is a Counselor based in Oklahoma City, OK. Candice Jackson practices in Oklahoma City, OK. The NPI Number for Candice Jackson is 1346490042 and holds a License No. (Oklahoma).

The current practice location address for Candice Jackson is 11614 Vail Dr, Oklahoma City, OK and can be reached out via phone at 405-388-6048.

Location: 11614 Vail Dr, Oklahoma City, OK, 73172-0477
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Provider Profile Details
NPI Number
1346490042
Provider Name
Candice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11614 Vail Dr, Oklahoma City, OK, 73172-0477
Phone Number
405-388-6048
Fax Number
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10 05 OK
institution
Provider Business Practice Location Address Details
Address
11614 Vail Dr
City
State
Zip
73162-1644
Phone Number
405-388-6048
Fax Number
person
Provider Business Mailing Address Details
Address
11614 Vail Dr
City
State
Zip
73162-1644
Phone Number
405-388-6048
Fax Number
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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