Individual provider · Type 1 NPI

Theresa Diann Jackson

Peer Specialist · Tulsa, OK

NPI number 1346023942 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1346023942

Theresa Diann Jackson's National Provider Identifier is 1346023942, issued on Aug 16, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 16, 2023.