Individual
JOANNA LEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-CANDIDATE
Contact information
Practice address
8810 S YALE AVE, TULSA, OK 74137-3551
(918) 760-5243
Mailing address
8810 S YALE AVE, TULSA, OK 74137-3551
(918) 760-5243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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