Megan Jackson
Counselor, Mental Health in Durant, OK. Individual provider (NPI-1).
NPI number1043676901
StatusActive
Last updated in NPPESJan 7, 2016
Details
- NPI
- 1043676901
- Entity type
- Individual (NPI-1)
- Name
- Megan Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2016
- Last updated
- Jan 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1308 N 1st Ave # ADurant, OK 74701-2813
Phone 580-931-0300 · Fax 580-931-0300
Mailing address
89 Highland DrDurant, OK 74701-1786
Phone 580-916-5012 · Fax 580-931-0300
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