JESSICA JACKSON

Counselor

Active Individual
NPI: 1073760062

Practice Address

1105 LYNNWOOD ST
Durant, OK 74701

Phone: (580) 924-6263

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1073760062 is the National Provider Identifier for JESSICA JACKSON, a Counselor provider located in Durant, OK. This NPI was enumerated on August 21, 2008.
JESSICA JACKSON practices at 1105 LYNNWOOD ST, Durant, OK 74701.

Quick Facts

NPI
1073760062
Type
Individual
Enumerated
Aug 21, 2008
Last Updated
May 20, 2010

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