Search › Oklahoma › 101YP2500X
Laqueta Jackson
NPI 1740691666 · on the registry since 2014 · sole proprietor
Practice
- Address
- 7643 E 126th St S Ste 217d
Bixby, OK 74008 - Phone
- (918) 280-9098
- Organisation at this address
- Afresh Mind Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-08
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