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

Mrs. Kim Marie Jackson

Individual provider Counselor · NPI 1285933176

Mrs. Kim Marie Jackson is a Counselor in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

2109 S Highway 69
Wagoner, OK 74467-9310
Phone: (918) 485-0242
Fax: (918) 485-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1285933176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2011
Last updated in NPPESMarch 18, 2011

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