NPI 1164736278

Traci Brenee Jackson, MSLPCCANDIDATE

Practitioner Mental Health Counselor Seminole, OK

Practice location

Address: 300 E. Seminole, Seminole, OK 74858
Phone: (405) 382-2940
Mailing address: 36477 Ew 1320, Wewoka, OK 74884-8820

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Oklahoma →

Registry record

NPI: 1164736278
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2010
Record last updated: 19 Jan 2011

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.