SearchOklahoma101Y00000X

Melissa Jackson, MHR, LPC

NPI 1609145184 · on the registry since 2011 · sole proprietor

Practice

Address
11541 Village Ave
Midwest City, OK 73130
Phone
(405) 201-3646

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma