Individual
MEGAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 N 1ST AVE # A, DURANT, OK 74701-2813
(580) 931-0300
(580) 931-0300
Mailing address
89 HIGHLAND DR, DURANT, OK 74701-1786
(580) 916-5012
(580) 931-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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