Individual
MARSHELLEN DENISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4417 W GORE BLVD STE 2, LAWTON, OK 73505-5978
(580) 956-4827
Mailing address
6117 SW PARK PL, LAWTON, OK 73505-7731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12665
OK
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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