ELISSA NACOLE JACKSON

TULSA, OK
NPI1104587401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-01-07
Last Update Date2022-01-07
Business Address
ELISSA NACOLE JACKSON Resident Assistant
1719 E 27TH ST N
TULSA, OK 74110-1705
Phone number: 918-982-7687
Mailing Address
ELISSA NACOLE JACKSON Resident Assistant
1719 E 27TH ST N
TULSA, OK 74110-1705
Phone number: 918-982-7687