Individual
SIERRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 WOODBEND DR, OKLAHOMA CITY, OK 73135-6186
(405) 819-2321
Mailing address
8433 WOODBEND DR, OKLAHOMA CITY, OK 73135-6186
(405) 819-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11287
OK
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
11287
OK
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
06/14/2015
Last updated
05/13/2026
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