Individual provider · Type 1 NPI
Krishaun Jackson
Counselor · Spencer, OK
NPI number
1144580341
Active
Practice location
10901 N.e 59th St.
Spencer, OK 73084
Mailing address
10901 NE 59th St
Spencer, OK 73084-5019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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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- Deitra Ann Woody, MSCounselor Spencer, OK NPI 1477813020
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About NPI 1144580341
Krishaun Jackson's National Provider Identifier is 1144580341, issued on May 22, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spencer, OK. The record was last updated on May 22, 2012.