TRACI BRENEE JACKSON

SEMINOLE, OK
NPI1164736278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-07-30
Last Update Date2011-01-19
Business Address
-- TRACI BRENEE JACKSON MS, LPC Candidate
300 E. SEMINOLE
SEMINOLE, OK 74858
Phone number: 405-382-2940
Mailing Address
-- TRACI BRENEE JACKSON MS, LPC Candidate
36477 EW 1320
WEWOKA, OK 74884-8820
Phone number: 580-399-8384
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