person
Kendrick Jackson
Counselor in Oklahoma City, Oklahoma
NPI 1679826747

Kendrick Jackson is a Counselor based in Oklahoma City, OK. Kendrick Jackson practices in Oklahoma City, OK. The NPI Number for Kendrick Jackson is 1679826747 and holds a License No. (Oklahoma).

The current practice location address for Kendrick Jackson is 2501 Ne 15Th St, Oklahoma City, OK and can be reached out via phone at 405-706-4537.

Location: 2501 Ne 15Th St, Oklahoma City, OK, 73117-5224
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Provider Profile Details
NPI Number
1679826747
Provider Name
Kendrick Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2501 Ne 15Th St, Oklahoma City, OK, 73117-5224
Phone Number
405-706-4537
Fax Number
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200287120A 05 OK
institution
Provider Business Practice Location Address Details
Address
2501 Ne 15Th St
City
State
Zip
73117-5224
Phone Number
405-706-4537
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Ne 15Th St
City
State
Zip
73117-5224
Phone Number
405-706-4537
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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