Jacquline Jackson
Jacquline Jackson is a Professional Counselor in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.
- Licensed in
- OK
- In the registry since
- 2011
Practice location Address checks out
1127 N Kickapoo AveShawnee, OK 74801-4845
Phone: (405) 214-0116
Fax: (877) 334-8552
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 5594 (OK) |
|---|
Record details
| NPI number | 1689943094 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 14, 2011 |
| Last updated in NPPES | March 1, 2016 |
| Mailing address | 33207 45th St, Shawnee, OK 74804-3423 |
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Sarah Anne Lake, LPC
1127 N Kickapoo St, Shawnee, OK 74801-4845 · (405) 214-0116