Individual provider · Type 1 NPI

Latrice Vernice Jackson

Mental Health Counselor · Shawnee, OK

NPI number 1275800997 Active

Practice location

1415 E 10th St, 2425 Lenore St.
Shawnee, OK 74801-7801

Call (405) 382-7623 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275800997

Latrice Vernice Jackson's National Provider Identifier is 1275800997, issued on Nov 23, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawnee, OK. The record was last updated on Jan 21, 2016.