Misti Dawn Jackson-Hise
Case Manager/Care Coordinator in Poteau, OK. Individual provider (NPI-1).
NPI number1770100604
StatusActive
Last updated in NPPESJun 26, 2020
Details
- NPI
- 1770100604
- Entity type
- Individual (NPI-1)
- Name
- Misti Dawn Jackson-Hise
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2020
- Certification date
- Jun 26, 2020
- Last updated
- Jun 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
309 Rogers AvePoteau, OK 74953-4227
Phone 918-658-8078
Mailing address
Po Box 3Talihina, OK 74571-0003
Phone 918-413-1100
Other practice locations
123 E Avenue C
Heavener, OK 74937-2603
Heavener, OK 74937-2603
Phone 918-658-4016
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All 101 Case Manager/Care Coordinator providers in Poteau · All 623 providers in Poteau
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