Individual
MORRIS ALLEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
12529 HIGH MEADOW DR, OKLAHOMA CITY, OK 73120-1714
(405) 819-7741
Mailing address
12529 HIGH MEADOW DR, OKLAHOMA CITY, OK 73120-1714
(405) 819-7741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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