NPI 1053731794

Angela Rose Jackson Buck

Practitioner Counselor Kingfisher, OK

Practice location

Address: 1504 S Oak St, Kingfisher, OK 73750-4316
Phone: (405) 375-3603

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Oklahoma →

Registry record

NPI: 1053731794
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2014
Record last updated: 21 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.