Individual provider · Type 1 NPI

Kim Marie Jackson

Counselor · Wagoner, OK

NPI number 1285933176 Active

Practice location

2109 S Highway 69
Wagoner, OK 74467-9310

Call (918) 485-0242 Map

Fax (918) 485-0204

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 1285933176

Kim Marie Jackson's National Provider Identifier is 1285933176, issued on Mar 18, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Mar 18, 2011.