Individual
COURTNEY DYANE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 W UNIVERSITY BLVD, DURANT, OK 74701-2942
(580) 924-7330
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 980-0674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
08/07/2025
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