person
Mr. Charles Dustin Jackson, MA,LPC
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1588994081

Charles Dustin Jackson is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Charles Dustin Jackson practices in Oklahoma City, OK and has the professional credentials of MA,LPC. The NPI Number for Charles Dustin Jackson is 1588994081 and holds a License No. 4253 (Oklahoma).

The current practice location address for Charles Dustin Jackson is 5004 Nw 26Th St, Oklahoma City, OK and can be reached out via phone at 405-923-0603.

Location: 5004 Nw 26Th St, Oklahoma City, OK, 73127-1722
person
Provider Profile Details
NPI Number
1588994081
Provider Name
Charles Dustin Jackson
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
5004 Nw 26Th St, Oklahoma City, OK, 73127-1722
Phone Number
405-923-0603
Fax Number
Provider Enumeration Date
01/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5004 Nw 26Th St
City
State
Zip
73127-1722
Phone Number
405-923-0603
Fax Number
person
Provider Business Mailing Address Details
Address
5004 Nw 26Th St
City
State
Zip
73127-1722
Phone Number
405-923-0603
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4253 (Oklahoma)
Definition
Definition to come...
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