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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: August 23, 2026.

About Traci Brenee Jackson Ms, Lpc Candidate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI BRENEE JACKSON MS, LPC CANDIDATE (NPI 1164736278) is an individual mental health provider in Seminole, Oklahoma and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1164736278
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACI BRENEE JACKSONCredential: MS, LPC CANDIDATE
Location Address300 E. SEMINOLESeminole, OK 74858
Mailing Address36477 Ew 1320Wewoka, OK 74884-8820 · (580) 399-8384
Phone(405) 382-2940
Sole ProprietorNo
Enumeration DateJuly 30, 2010
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1164736278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 E. SEMINOLE, Seminole, OK 74858
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Jackson's NPI number?

The NPI number for Traci Jackson is 1164736278. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Traci Jackson located?

Traci Jackson practices at 300 E. Seminole, Seminole, OK 74858. The listed phone number is (405) 382-2940.

What is Traci Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Traci Jackson was last updated on January 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.