person
Corie L Jackson
Peer Specialist in Ponca City, Oklahoma
NPI 1558953042

Corie L Jackson is a Peer Specialist based in Ponca City, OK. Corie L Jackson practices in Ponca City, OK. The NPI Number for Corie L Jackson is 1558953042 and holds a License No. G083070519 (Oklahoma).

The current practice location address for Corie L Jackson is 2225 N Union St, Ponca City, OK and can be reached out via phone at 918-308-5515 and via fax at 580-215-5765. You can also correspond with Corie L Jackson through the mailing address at 2225 N UNION ST, PONCA CITY, OK - 74601-1555 (mailing address contact number: 918-308-5515).

Location: 2225 N Union St, Ponca City, OK, 74601-1555
person
Provider Profile Details
NPI Number
1558953042
Provider Name
Corie L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2225 N Union St, Ponca City, OK, 74601-1555
Phone Number
918-308-5515
Fax Number
580-215-5765
Provider Enumeration Date
02/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2225 N Union St
City
State
Zip
74601-1555
Phone Number
918-308-5515
Fax Number
580-215-5765
person
Provider Business Mailing Address Details
Address
2225 N Union St
City
State
Zip
74601-1555
Phone Number
918-308-5515
Fax Number
580-215-5765
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
G083070519 (Oklahoma)
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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