Jackson, Traci Brenee

Jackson, Traci Brenee is an individual health care provider with primary practice located at 300 E. Seminole , Seminole OK 74858. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Traci Brenee can be contacted via phone (405) 382-2940.

Contact Information

Primary practice address
300 E. Seminole Seminole OK 74858
Phone: (405) 382-2940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164736278
LBN Legal business name Jackson, Traci Brenee
Credentials MS, LPC CANDIDATE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Jan 19th, 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.

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