Joanna Lee Jackson, LPC-CANDIDATE
Joanna Lee Jackson, LPC-CANDIDATE is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2023
Practice location Address checks out
8810 S Yale AveTulsa, OK 74137-3551
Phone: (918) 760-5243
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1992405922 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC-CANDIDATE |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
| Mailing address | 8810 S Yale Ave, Tulsa, OK 74137-3551 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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