Individual provider · Type 1 NPI

Dana Lynn Jackson, LADC UNDER SUPER

Mental Health Counselor · Tulsa, OK

NPI number 1962701391 Active

Practice location

2448 E. 81st Street, Suite 4824 / Citiplextowers
Tulsa, OK 74137-1814

Call (918) 486-9996 Map

Mailing address

2413 Larkhaven St
Norman, OK 73071-4326

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962701391

Dana Lynn Jackson, LADC UNDER SUPER's National Provider Identifier is 1962701391, issued on Mar 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Oct 15, 2011.