person
Jacquline Jackson
Professional Counselor in Shawnee, Oklahoma
NPI 1689943094

Jacquline Jackson is a Professional Counselor based in Shawnee, OK and is specialized in Professional. Jacquline Jackson practices in Shawnee, OK. The NPI Number for Jacquline Jackson is 1689943094 and holds a License No. 5594 (Oklahoma).

The current practice location address for Jacquline Jackson is 1127 N Kickapoo Ave, Shawnee, OK and can be reached out via phone at 405-214-0116 and via fax at 877-334-8552.

Location: 1127 N Kickapoo Ave, Shawnee, OK, 74804-3423
person
Provider Profile Details
NPI Number
1689943094
Provider Name
Jacquline Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1127 N Kickapoo Ave, Shawnee, OK, 74804-3423
Phone Number
405-214-0116
Fax Number
877-334-8552
Provider Enumeration Date
12/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1127 N Kickapoo Ave
City
State
Zip
74801-4845
Phone Number
405-214-0116
Fax Number
877-334-8552
person
Provider Business Mailing Address Details
Address
1127 N Kickapoo Ave
City
State
Zip
74801-4845
Phone Number
405-214-0116
Fax Number
877-334-8552
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5594 (Oklahoma)
Definition
Definition to come...
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