Individual provider · Type 1 NPI
Melissa Rena Jackson, MHR, LPC
Counselor · Midwest City, OK
NPI number
1609145184
Active
Practice location
11541 Village Ave
Midwest City, OK 73130-8207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Counselor Primary | 101Y00000X | None 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 1609145184
Melissa Rena Jackson, MHR, LPC's National Provider Identifier is 1609145184, issued on Dec 29, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Midwest City, OK. The record was last updated on Aug 29, 2013.