person
Mr. Phil Leodis Jackson JR.
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1972847937

Phil Leodis Jackson JR. is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Phil Leodis Jackson JR. practices in Oklahoma City, OK. The NPI Number for Phil Leodis Jackson JR. is 1972847937 and holds a License No. (Oklahoma).

The current practice location address for Phil Leodis Jackson JR. is 2769 Nw 16Th St, Oklahoma City, OK and can be reached out via phone at 405-589-9578.

Location: 2769 Nw 16Th St, Oklahoma City, OK, 73107-4843
person
Provider Profile Details
NPI Number
1972847937
Provider Name
Phil Leodis Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2769 Nw 16Th St, Oklahoma City, OK, 73107-4843
Phone Number
405-589-9578
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2769 Nw 16Th St
City
State
Zip
73107-4843
Phone Number
405-589-9578
Fax Number
person
Provider Business Mailing Address Details
Address
2769 Nw 16Th St
City
State
Zip
73107-4843
Phone Number
405-589-9578
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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