TRACI BRENEE JACKSON MS, LPC CANDIDATE
NPI 1164736278
Counselor - Mental Health in Seminole, OK

Active since July 30, 2010
300 E. SEMINOLE, SEMINOLE, OK 74858(405) 382-2940 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About TRACI JACKSON

This page provides the complete NPI Profile along with additional information for Traci Jackson, a provider established in Seminole, Oklahoma with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1164736278 assigned on July 2010. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1164736278 Verify this NPI
Provider Name
TRACI BRENEE JACKSON MS, LPC CANDIDATE
Gender
Female
Entity Type
Individual
Location Address
300 E. SEMINOLE SEMINOLE, OK 74858
Location Phone
(405) 382-2940
Mailing Address
36477 EW 1320 WEWOKA, OK 74884
Mailing Phone
(580) 399-8384
Is Sole Proprietor?
No
Enumeration Date
07-30-2010
Last Update Date
01-19-2011
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A mental health counselor like Traci Jackson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164736278, enumerated as an "individual" on July 30, 2010.

The provider is located at 300 E. SEMINOLE SEMINOLE, OK 74858 and the phone number is (405) 382-2940.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.