| NPI | 1508178070 |
|---|---|
| Doing Business As | BETTY JACKSON COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | LATIA R PARKER Lic Behavioral Health Professional 918-902-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3343) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 659) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2012-01-10 |