Organization
BETTY JACKSON COUNSELING SERVICES
Active
Other names
Betty Jackson Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATIA R PARKER LPC, LADC (LIC BEHAVIORAL HEALTH PROFESSIONAL)
(918) 902-5348
Entity
Organization
Contact information
Practice address
4528 S SHERIDAN RD STE 117, TULSA, OK 74145-1140
(918) 794-6570
(918) 340-5189
Mailing address
200 W HOBSON AVE, SAPULPA, OK 74066-3926
(918) 902-5348
(918) 340-5189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
659
OK
101YP2500X
Professional Counselor
Primary
3343
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200232480A
—
OK
Enumeration date
07/13/2010
Last updated
01/10/2012
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