Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY A JACKSON, TECH
Active Sole ProprietorMental Health Counselor · ARDMORE, OK
Registration Details
- NPI Number
- 1376836957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2011 (14.965874623695 yrs)
- Last Updated
- May 16, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
221 2ND AVE NWARDMORE, OK, 734016202Browse OK providers · Browse ZIP 73401
- Phone
- 5803409187
- Fax
- 5802263849
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| MS. BRENDA S BAUSE | LPC | 1083632004 |
| CURTIS RAY OWEN | M.ED. | 1417010547 |
| MRS. BRENDA KAY LAWSON | M.S.,LPC | 1407988876 |
| RICKEAL L PRESTON | M.S., LBP | 1235344383 |
| DEANA MARIE THARP | M.ED, LPC | 1518169606 |
| MRS. SHEILA M MCELMURRY | B.S.W., CM-CAF | 1437351954 |
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.