Organization
RENEWED MIND ENRICHMENT THERAPY & COMMUNITY SERVICES NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MICHELLE JACKSON PHD, LPC (OWNER & LICENSED PROFESSIONAL THERA)
(580) 231-1659
Entity
Organization
Contact information
Practice address
5506 W CHESTNUT AVE, APT 222, 5506 W CHESTNUT AVE, APT 222, ENID, OK 73703
(580) 231-1659
(855) 629-7098
Mailing address
5506 W CHESTNUT AVE, APT 222, 5506 W CHESTNUT AVE, APT 222, ENID, OK 73703
(580) 231-1659
(855) 629-7098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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