Individual provider · Type 1 NPI

Kimberly Jackson

Mental Health Counselor · Tulsa, OK

NPI number 1528598463 Active

Practice location

1401 Charles Page Blvd
Tulsa, OK 74127-8820

Call (918) 521-7053 Map

Fax (918) 516-0233

Mailing address

3720 Silver Oak Ct
Tulsa, OK 74107-4050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1528598463

Kimberly Jackson's National Provider Identifier is 1528598463, issued on Jun 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jun 14, 2017.