Jackson, Comelia

Jackson, Comelia is an sole proprietor health care provider with primary practice located at 8616 Ne 35Th St , Spencer OK 73084-3206. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Comelia can be contacted via phone (405) 532-7815.

Contact Information

Primary practice address
8616 Ne 35Th St Spencer OK 73084-3206
Phone: (405) 532-7815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417254681
LBN Legal business name Jackson, Comelia
Credentials M.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2011
Last updated Nov 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers