Individual
JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-0596
(918) 254-4554
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 560-1127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
03/29/2011
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