ERNEST JACKSON

OKLAHOMA CITY, OK
NPI1801060231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-04-16
Last Update Date2008-04-16
Business Address
-- ERNEST JACKSON B.S. M.DIV
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Mailing Address
-- ERNEST JACKSON B.S. M.DIV
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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