Individual
MR. RICHARD HILLARY JACKSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1209 SOVEREIGN ROW, OKLAHOMA CITY, OK 73108-1824
(405) 942-5570
(405) 942-5603
Mailing address
7746 DORIS DR, OKLAHOMA CITY, OK 73162-4387
(405) 722-4183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2149
OK
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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