Individual provider · Type 1 NPI

Deetra Jackson

Counselor · Idabel, OK

NPI number 1326485582 Active

Practice location

411 S Central Ave
Idabel, OK 74745-6059

Call (580) 286-5045 Map

Fax (580) 286-5721

Mailing address

107 S High St
Antlers, OK 74523-3818

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 1326485582

Deetra Jackson's National Provider Identifier is 1326485582, issued on May 29, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idabel, OK. The record was last updated on May 29, 2013.