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Emmi Eve Jackson
Peer Specialist in Sapulpa, Oklahoma
NPI 1841063468

Emmi Eve Jackson is a Peer Specialist based in Sapulpa, OK. Emmi Eve Jackson practices in Sapulpa, OK. The NPI Number for Emmi Eve Jackson is 1841063468 and holds a License No. (Oklahoma).

The current practice location address for Emmi Eve Jackson is 1403 S Cheyenne Rd, Sapulpa, OK and can be reached out via phone at 918-927-9253. You can also correspond with Emmi Eve Jackson through the mailing address at 1403 S CHEYENNE RD, SAPULPA, OK - 74066-6264 (mailing address contact number: 918-927-9253).

Location: 1403 S Cheyenne Rd, Sapulpa, OK, 74066-6264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841063468
Provider Name
Emmi Eve Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1403 S Cheyenne Rd, Sapulpa, OK, 74066-6264
Phone Number
918-927-9253
Fax Number
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1403 S Cheyenne Rd
City
Sapulpa
State
Oklahoma
Zip
74066-6264
Phone Number
918-927-9253
Fax Number
person
Provider Business Mailing Address Details
Address
1403 S Cheyenne Rd
City
Sapulpa
State
Oklahoma
Zip
74066-6264
Phone Number
918-927-9253
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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