Stacey Renea Jackson
Stacey Renea Jackson is a Mental Health Counselor in Muskogee, Oklahoma. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
619 N Main StMuskogee, OK 74401-4431
Phone: (918) 682-8407
Fax: (918) 687-0976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1760807234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 20, 2014 |
| Last updated in NPPES | February 20, 2014 |
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