Jackson, Krishaun

Jackson, Krishaun is an sole proprietor health care provider with primary practice located at 10901 N.E 59Th St. , Spencer OK 73084. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Jackson, Krishaun can be contacted via phone (405) 881-7080.

Contact Information

Primary practice address
10901 N.E 59Th St. Spencer OK 73084
Phone: (405) 881-7080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1144580341
LBN Legal business name Jackson, Krishaun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 13 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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