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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN THOMAS JACKSON

Active Sole Proprietor

KEVIN THOMAS JACKSON is a Mental Health Counselor healthcare provider located in TULSA, Oklahoma. NPI 1114456498 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · TULSA, OK

Registration Details

NPI Number
1114456498
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2017 (9.1639990216317 yrs)
Last Updated
Jun 8, 2017
Sole Proprietor
Yes

Practice Information

Address
310 S 49TH W AVE
TULSA, OK, 74127
Browse OK providers · Browse ZIP 74127
Phone
9188139699
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in TULSA, OK

Name Credential NPI
MRS. ALISA K LITTLE-LONGNECKER LPC 1619945201
MRS. NIANI Y CHRISTIAN-WARE LPC 1083663959
MR. BRIAN K ZUMALT MS, LPC 1295784163
MR. RAYMOND VIRGIL SIMMS LPC 1619927951
MS. BRENDA LEE SMITH LPC 1164472403
MS. SALLIE L TRECEK LPC 1538119417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.