Individual provider · Type 1 NPI

Marshellen Denise Jackson

Mental Health Counselor · Lawton, OK

NPI number 1124972088 Active

Practice location

4417 W Gore Blvd Ste 2
Lawton, OK 73505-5978

Call (580) 956-4827 Map

Mailing address

6117 SW Park Pl
Lawton, OK 73505-7731

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12665 (OK)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1124972088

Marshellen Denise Jackson's National Provider Identifier is 1124972088, issued on Feb 25, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawton, OK. The record was last updated on Feb 25, 2026.