Individual provider · Type 1 NPI

Jessica Ann Jackson

Counselor · Durant, OK

NPI number 1073760062 Active

Practice location

1105 Lynnwood St
Durant, OK 74701-2919

Fax (580) 924-6775

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1073760062

Jessica Ann Jackson's National Provider Identifier is 1073760062, issued on Aug 21, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Durant, OK. The record was last updated on May 20, 2010.