Jackson, Jessica Ann

Jackson, Jessica Ann is an individual health care provider with primary practice located at 1105 Lynnwood St , Durant OK 74701-2919. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Jessica Ann can be contacted via phone (580) 924-6263.

Contact Information

Primary practice address
1105 Lynnwood St Durant OK 74701-2919
Phone: (580) 924-6263
Fax: (580) 924-6775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1073760062
LBN Legal business name Jackson, Jessica Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated May 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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