Individual provider · Type 1 NPI

Anthony Jackson

Counselor · Edmond, OK

NPI number 1972917037 Active

Practice location

1015 Waterwood Pkwy
Edmond, OK 73034-5327

Call (405) 884-8085 Map

Mailing address

PO Box 18883
Oklahoma City, OK 73154-0883

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1972917037

Anthony Jackson's National Provider Identifier is 1972917037, issued on Jun 17, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edmond, OK. The record was last updated on Jun 17, 2014.