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MRS. CANDICE JACKSON
NPI 1346490042
Counselor in Oklahoma City, OK

Active since September 30, 2008
11614 VAIL DR, OKLAHOMA CITY, OK 73162(405) 388-6048 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Candice Jackson NPPES

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

MRS. CANDICE JACKSON (NPI 1346490042) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1346490042
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. CANDICE JACKSON
Location Address11614 VAIL DROklahoma City, OK 73162-1644
Mailing AddressPo Box 720477Oklahoma City, OK 73172-0477
Phone(405) 388-6048
Sole ProprietorNo
Enumeration DateSeptember 30, 2008
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1346490042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11614 VAIL DR, Oklahoma City, OK 73162
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Other Identifiers 1

Medicaid10OK

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELEE MACK
Case Manager/Care Coordinator
11614 VAIL DR
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 464-4994

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 Candice Jackson's NPI number?

The NPI number for Candice Jackson is 1346490042. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Candice Jackson located?

Candice Jackson practices at 11614 Vail Dr, Oklahoma City, OK 73162. The listed phone number is (405) 388-6048.

What is Candice Jackson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Candice Jackson was last updated on September 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.