Individual provider · Type 1 NPI

Quenton James Jackson

Peer Specialist · Yukon, OK

NPI number 1821774084 Active

Practice location

801 Liberty Mesa Ct
Yukon, OK 73099-5571

Call (405) 593-7551 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1821774084

Quenton James Jackson's National Provider Identifier is 1821774084, issued on Jun 23, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Yukon, OK. The record was last updated on Jun 23, 2023.