Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI BRENEE JACKSON, MS, LPC CANDIDATE
ActiveTRACI BRENEE JACKSON, MS, LPC CANDIDATE is a Mental Health Counselor healthcare provider located in SEMINOLE, Oklahoma. NPI 1164736278 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SEMINOLE, OK
Registration Details
- NPI Number
- 1164736278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2010 (16.004882068308 yrs)
- Last Updated
- Jan 19, 2011
Practice Information
- Address
-
300 E. SEMINOLESEMINOLE, OK, 74858Browse OK providers · Browse ZIP 74858
- Phone
- 4053822940
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SEMINOLE, OK
| Name | Credential | NPI |
|---|---|---|
| JANICE SMITH | B.A. | 1730307968 |
| KRISTEN STREET | M.ED, LPC | 1508071887 |
| DANNIE SUE WRIGHT | LPC UNDER SUPERVISIO | 1003027798 |
| MRS. JEANNEROSA DEPAZ LAY | MS, CM-A | 1487856126 |
| MRS. GLENDA SUE CROWELL | BSW | 1629273479 |
| MS. SHIRLEY JEANNE OWENS | — | 1841463890 |
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.