Marshellen Denise Jackson
Counselor, Mental Health in Lawton, OK. Individual provider (NPI-1).
NPI number1124972088
StatusActive
Last updated in NPPESFeb 25, 2026
Details
- NPI
- 1124972088
- Entity type
- Individual (NPI-1)
- Name
- Marshellen Denise Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 12665 | OK | Yes |
Practice location
4417 W Gore Blvd Ste 2Lawton, OK 73505-5978
Phone 580-956-4827
Mailing address
6117 Sw Park PlLawton, OK 73505-7731
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