Individual provider · Type 1 NPI

Jimmy A. Jackson, TECH

Mental Health Counselor · Ardmore, OK

NPI number 1376836957 Active

Practice location

221 2nd Ave NW
Ardmore, OK 73401-6202

Call (580) 340-9187 Map

Fax (580) 226-3849

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1376836957

Jimmy A. Jackson, TECH's National Provider Identifier is 1376836957, issued on May 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on May 16, 2011.