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

TaxonomyCodeLicense
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 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.