Organization
NATRUWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKERA JACKSON LPC (OWNER)
(405) 470-9355
Entity
Organization
Contact information
Practice address
912 GLENMANOR DR, MIDWEST CITY, OK 73110-1212
(405) 470-9355
(888) 298-0174
Mailing address
912 GLENMANOR DR, MIDWEST CITY, OK 73110-1212
(405) 470-9355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
06/04/2026
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