Courtney Dyane Jackson

NPI #1023648607 in Durant, Oklahoma

Provider Information

NPI Number: 1023648607
Entity Type: Individual
Name: Courtney Dyane Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 22, 2020
Last Updated: Aug 7, 2025

Practice Location

Address: 2425 W UNIVERSITY BLVD
City: Durant
State: Oklahoma
ZIP Code: 74701-2942
Phone: (580) 924-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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