Laqueta Jackson
Laqueta Jackson is a Case Manager/Care Coordinator in Bixby, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
7643 E 126th St S Ste 217DBixby, OK 74008-2988
Phone: (918) 280-9098
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6994 (OK) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1740691666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2014 |
| Last updated in NPPES | July 8, 2024 |
| Certification date | July 8, 2024 |
| Mailing address | 5555 S Lewis Ave, Tulsa, OK 74105-7104 |
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