COMELIA JACKSON

SPENCER, OK
NPI1417254681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-02-23
Last Update Date2011-11-22
Business Address
Mrs. COMELIA JACKSON M.S
8616 NE 35TH ST
SPENCER, OK 73084-3206
Phone number: 405-532-7815
Mailing Address
Mrs. COMELIA JACKSON M.S
8616 NE 35TH ST
SPENCER, OK 73084-3206
Phone number: 405-532-7815