Individual provider · Type 1 NPI

Kameron R. Jackson

Peer Specialist · Tecumseh, OK

NPI number 1043944754 Active

Practice location

24962 Okay Rd
Tecumseh, OK 74873-6504

Mailing address

1300 Crown Point Ave Apt 21
Norman, OK 73072-5866

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1043944754

Kameron R. Jackson's National Provider Identifier is 1043944754, issued on Jul 11, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tecumseh, OK. The record was last updated on Jul 11, 2022.