Mr. Jimmy A Jackson, TECH
Mr. Jimmy A Jackson, TECH is a Mental Health Counselor in Ardmore, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
221 2nd Ave NWArdmore, OK 73401-6202
Phone: (580) 340-9187
Fax: (580) 226-3849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1376836957 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | TECH |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2011 |
| Last updated in NPPES | May 16, 2011 |
| Mailing address | 221 2nd Ave Nw, Ardmore, OK 73401-6202 |
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