Individual provider · Type 1 NPI

Candice Jackson

Counselor · Oklahoma City, OK

NPI number 1346490042 Active

Practice location

11614 Vail Dr
Oklahoma City, OK 73162-1644

Call (405) 388-6048 Map

Mailing address

PO Box 720477
Oklahoma City, OK 73172-0477

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 1346490042

Candice Jackson's National Provider Identifier is 1346490042, issued on Sep 30, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 11, 2013.