Michalla Jackson
NPI #1174279061 in Sand Springs, Oklahoma
Provider Information
- NPI Number
- 1174279061
- Entity Type
- Individual
- Name
- Michalla Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 1, 2022
- Last Updated
- Mar 1, 2022
Practice Location
- Address
- 602 COLONY DR
- City
- Sand Springs
- State
- Oklahoma
- ZIP Code
- 74063-7428
- Phone
- (417) 818-4821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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