JESSICA ANN JACKSON

DURANT, OK
NPI1073760062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-08-21
Last Update Date2010-05-20
Business Address
JESSICA ANN JACKSON
1105 LYNNWOOD ST
DURANT, OK 74701-2919
Phone number: 580-924-6263
Mailing Address
JESSICA ANN JACKSON
1105 LYNNWOOD ST
DURANT, OK 74701-2919
Phone number: 580-924-6263
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