Individual provider · Type 1 NPI
Andrea Luthelle Jackson, M.S. EDUCATION
Mental Health Counselor · Oklahoma City, OK
NPI number
1124383765
Active
Practice location
1501 NW 34th St
Oklahoma City, OK 73118-3203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1124383765
Andrea Luthelle Jackson, M.S. EDUCATION's National Provider Identifier is 1124383765, issued on Jul 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 10, 2012.