Quenton James Jackson
Quenton James Jackson is a Peer Specialist in Yukon, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
801 Liberty Mesa CtYukon, OK 73099-5571
Phone: (405) 593-7551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1821774084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2023 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |
| Mailing address | 801 Liberty Mesa Ct, Yukon, OK 73099-5571 |
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