Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ernest Jackson Jr., BSMDIV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801060231

Ernest Jackson Jr., BSMDIV is an Addiction (Substance Use Disorder) Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

3621 N Kelley Ave Ste 100
Oklahoma City, OK 73111-4520
Phone: (405) 524-5525
Fax: (405) 524-5528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1801060231
Entity typeIndividual (Type 1)
GenderMale
Credentials BSMDIV
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing address3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520

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