Jackson, Raymond

Jackson, Raymond is an individual health care provider with primary practice located at 2502 Crossroads Dr , Ardmore OK 73401-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Raymond can be contacted via phone (580) 226-4800.

Contact Information

Primary practice address
2502 Crossroads Dr Ardmore OK 73401-2503
Phone: (580) 226-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 103K00000X Oklahoma

Profile Details

NPI number 1710206032
LBN Legal business name Jackson, Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated May 26th, 2010 - about 16 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.

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