Individual
CHASITY JADE JACKSON-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2822
(405) 858-2800
Mailing address
813 REV J A REED JR AVE, OKLAHOMA CITY, OK 73117-2212
(405) 924-2128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
11/13/2013
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