person
Demetra Shan Jackson, BS
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1619228095

Demetra Shan Jackson is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Demetra Shan Jackson practices in Oklahoma City, OK and has the professional credentials of BS. The NPI Number for Demetra Shan Jackson is 1619228095 and holds a License No. (Oklahoma).

The current practice location address for Demetra Shan Jackson is 1116 Sw 59Th St Apt 1, Oklahoma City, OK and can be reached out via phone at 405-618-9411.

Location: 1116 Sw 59Th St Apt 1, Oklahoma City, OK, 73109-4908
person
Provider Profile Details
NPI Number
1619228095
Provider Name
Demetra Shan Jackson
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
1116 Sw 59Th St Apt 1, Oklahoma City, OK, 73109-4908
Phone Number
405-618-9411
Fax Number
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1116 Sw 59Th St Apt 1
City
State
Zip
73109-4908
Phone Number
405-618-9411
Fax Number
person
Provider Business Mailing Address Details
Address
1116 Sw 59Th St Apt 1
City
State
Zip
73109-4908
Phone Number
405-618-9411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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