Anthony Jackson
Anthony Jackson is a Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1015 Waterwood PkwyEdmond, OK 73034-5327
Phone: (405) 884-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1972917037 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2014 |
| Last updated in NPPES | June 17, 2014 |
| Mailing address | Po Box 18883, Oklahoma City, OK 73154-0883 |
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