DAVID DUANE JACKSON
NPI 1669754545
Counselor in Oklahoma City, OK

Active since September 15, 2011
3005 N ROBINSON AVE, OKLAHOMA CITY, OK 73103(405) 412-8495(405) 412-8495 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Counselor

About DAVID JACKSON

This page provides the complete NPI Profile along with additional information for David Jackson, a provider established in Oklahoma City, Oklahoma with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1669754545 assigned on September 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1669754545 Verify this NPI
Provider Name
DAVID DUANE JACKSON
Gender
Male
Entity Type
Individual
Location Address
3005 N ROBINSON AVE OKLAHOMA CITY, OK 73103
Location Phone
(405) 412-8495
Location Fax
(405) 412-8495
Mailing Address
3005 N ROBINSON AVE OKLAHOMA CITY, OK 73103
Mailing Fax
(405) 412-8495
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2011
Last Update Date
09-15-2011
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor
3005 N ROBINSON AVE
OKLAHOMA CITY, OK 73103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669754545, enumerated as an "individual" on September 15, 2011.

The provider is located at 3005 N ROBINSON AVE OKLAHOMA CITY, OK 73103 and the phone number is (405) 412-8495.

Counselor with taxonomy code 101Y00000X.