Individual provider · Type 1 NPI

Courtney Dyane Jackson

Mental Health Counselor · Durant, OK

NPI number 1023648607 Active

Practice location

2425 W University Blvd
Durant, OK 74701-2942

Mailing address

PO Box 189
Ardmore, OK 73402-0189

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023648607

Courtney Dyane Jackson's National Provider Identifier is 1023648607, issued on Jan 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Aug 7, 2025.