Provider Demographics
NPI:1083902209
Name:BINKLEY-JACKSON, DEBORAH (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:BINKLEY-JACKSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 ASP AVE
Mailing Address - Street 2:LCWH, STE. 215
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73019-1086
Mailing Address - Country:US
Mailing Address - Phone:405-325-2143
Mailing Address - Fax:405-325-7772
Practice Address - Street 1:1005 ASP AVE
Practice Address - Street 2:LCWH, STE. 215
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73019-1086
Practice Address - Country:US
Practice Address - Phone:405-325-2143
Practice Address - Fax:405-325-7772
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional