Jackson, Melissa Rena

Jackson, Melissa Rena is an sole proprietor health care provider with primary practice located at 11541 Village Ave , Midwest City OK 73130-8207. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Melissa Rena can be contacted via phone (405) 201-3646.

Contact Information

Primary practice address
11541 Village Ave Midwest City OK 73130-8207
Phone: (405) 201-3646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oklahoma

Profile Details

NPI number 1609145184
LBN Legal business name Jackson, Melissa Rena
Credentials MHR, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2011
Last updated Aug 29th, 2013 - about 11 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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