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Derisha Jackson
Counselor in Midwest City, Oklahoma
NPI 1780968628

Derisha Jackson is a Counselor based in Oklahoma City, OK. Derisha Jackson practices in Midwest City, OK. The NPI Number for Derisha Jackson is 1780968628 and holds a License No. (Oklahoma).

The current practice location address for Derisha Jackson is 351 N Air Depot Blvd, Midwest City, OK and can be reached out via phone at 405-610-6540.

Location: 351 N Air Depot Blvd, Midwest City, OK, 73120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780968628
Provider Name
Derisha Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
351 N Air Depot Blvd, Midwest City, OK, 73120
Phone Number
405-610-6540
Fax Number
Provider Enumeration Date
10/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
351 N Air Depot Blvd
City
Midwest City
State
Oklahoma
Zip
73110-1700
Phone Number
405-610-6540
Fax Number
person
Provider Business Mailing Address Details
Address
351 N Air Depot Blvd
City
Midwest City
State
Oklahoma
Zip
73110-1700
Phone Number
405-610-6540
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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