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Amanda Jackson
Peer Specialist in Sallisaw, Oklahoma
NPI 1376041202

Amanda Jackson is a Peer Specialist based in Sallisaw, OK. Amanda Jackson practices in Sallisaw, OK. The NPI Number for Amanda Jackson is 1376041202 and holds a License No. (Oklahoma).

The current practice location address for Amanda Jackson is 205 S Jt Stites, Sallisaw, OK and can be reached out via phone at 918-775-7787 and via fax at 918-775-0328.

Location: 205 S Jt Stites, Sallisaw, OK, 74955-9301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376041202
Provider Name
Amanda Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 S Jt Stites, Sallisaw, OK, 74955-9301
Phone Number
918-775-7787
Fax Number
918-775-0328
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 S Jt Stites
City
Sallisaw
State
Oklahoma
Zip
74955-9301
Phone Number
918-775-7787
Fax Number
918-775-0328
person
Provider Business Mailing Address Details
Address
205 S Jt Stites
City
Sallisaw
State
Oklahoma
Zip
74955-9301
Phone Number
918-775-7787
Fax Number
918-775-0328
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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