Deetra Jackson
Counselor · Idabel, OK
NPI number
1326485582
Practice location
411 S Central AveIdabel, OK 74745-6059
- Phone
- (580) 286-5045
- Fax
- (580) 286-5721
NPI record
- NPI
- 1326485582
- Entity type
- Individual (Type 1)
- Enumeration date
- May 29, 2013
- Last updated
- May 29, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Mailing address
107 S High StAntlers, OK 74523-3818
- Phone
- (580) 298-2830
- Fax
- (580) 298-6723
About Deetra Jackson
Deetra Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 411 S Central Ave, Idabel, OK 74745-6059. The NPI number 1326485582 was assigned on May 29, 2013 and the record was last updated on May 29, 2013.
Frequently asked questions
What is the NPI number of Deetra Jackson?
The NPI number is 1326485582.
What is the phone number of Deetra Jackson?
The phone number listed for the practice location is (580) 286-5045.
Where is Deetra Jackson located?
411 S Central Ave, Idabel, OK 74745-6059.
What is the taxonomy code for Deetra Jackson?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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