Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY RENEA JACKSON
ActiveMental Health Counselor · MUSKOGEE, OK
Registration Details
- NPI Number
- 1760807234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2014 (12.196180439469 yrs)
- Last Updated
- Feb 20, 2014
Practice Information
- Address
-
619 N MAIN STMUSKOGEE, OK, 744014431Browse OK providers · Browse ZIP 74401
- Phone
- 9186828407
- Fax
- 9186870976
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MUSKOGEE, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. APRIL NICOLE ARNOLD WHEELER | MHR | 1548340771 |
| PATRICIA JEAN COLLINS-JACKSON | MS, LBP, LPC | 1992883987 |
| MRS. TYWANNA NICOLE NICHOLS | MSW | 1568532893 |
| MR. ADOLPHUS FRED BAILEY | MHP | 1063587723 |
| FAWNA L MASON | — | 1750441796 |
| SANDRA SHRUM | — | 1760542716 |
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.