Individual
GISELE D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
529 N GRAND ST, ENID, OK 73701-3216
(580) 234-8880
(580) 234-8891
Mailing address
315 N 19TH ST, ENID, OK 73701-4532
(580) 237-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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