Anthony Jackson is a Counselor based in Oklahoma City, OK. Anthony Jackson practices in Edmond, OK. The NPI Number for Anthony Jackson is 1972917037 and holds a License No. (Oklahoma).
The current practice location address for Anthony Jackson is 1015 Waterwood Pkwy, Edmond, OK and can be reached out via phone at 405-884-8085.
Location: 1015 Waterwood Pkwy, Edmond, OK, 73154-0883
Provider Profile Details
NPI Number
1972917037
Provider Name
Anthony Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1015 Waterwood Pkwy, Edmond, OK, 73154-0883
Phone Number
405-884-8085
Fax Number
Provider Enumeration Date
06/17/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | 05 | OK |
Provider Business Practice Location Address Details
Address
1015 Waterwood Pkwy
City
State
Zip
73034-5327
Phone Number
405-884-8085
Fax Number
Provider Business Mailing Address Details
Address
1015 Waterwood Pkwy
City
State
Zip
73034-5327
Phone Number
405-884-8085
Fax Number
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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