Individual provider · Type 1 NPI

Genie Jackson

Mental Health Counselor · Woodward, OK

NPI number 1770772444 Active

Practice location

1222 10th St Ste 211
Woodward, OK 73801-3156

Call (580) 256-8615 Map

Fax (580) 256-8609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770772444

Genie Jackson's National Provider Identifier is 1770772444, issued on Oct 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodward, OK. The record was last updated on Oct 18, 2007.