Most Relevant Information
Provider Data
| NPI Number: | 1003660218 |
| Provider Name: | HELEN JACKSON- COLLINS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
6100 S WALKER AVE
OKLAHOMA CITY
OK
731397026
Practice Location Phone/Fax
| Phone: | 4053393487 |
| Fax: |
Provider Mailing Location
612 SW 15TH ST
MOORE
OK
731602705
Provider Mailing Phone/Fax
| Phone: | 4053393487 |
| Fax: |