Jackson, Sara Lafawn

Jackson, Sara Lafawn is an sole proprietor health care provider with primary practice located at 120 W Broadway St , Altus OK 73521-3802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Sara Lafawn can be contacted via phone (580) 649-8355.

Contact Information

Primary practice address
120 W Broadway St Altus OK 73521-3802
Phone: (580) 649-8355
Fax: (580) 379-4010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4704 Oklahoma

Profile Details

NPI number 1992024228
LBN Legal business name Jackson, Sara Lafawn
Credentials M.S. LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2010
Last updated Sep 14th, 2020 - about 6 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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