person
Carl Edward Jackson, MSLPC
Professional Counselor in Altus, Oklahoma
NPI 1891078671

Carl Edward Jackson is a Professional Counselor based in Altus, OK and is specialized in Professional. Carl Edward Jackson practices in Altus, OK and has the professional credentials of MSLPC. The NPI Number for Carl Edward Jackson is 1891078671 and holds a License No. 6694 (Oklahoma).

The current practice location address for Carl Edward Jackson is 120 W Broadway St, Altus, OK and can be reached out via phone at 580-954-5966.

Location: 120 W Broadway St, Altus, OK, 73521-3802
person
Provider Profile Details
NPI Number
1891078671
Provider Name
Carl Edward Jackson
Credential
MSLPC
Provider Entity Type
Individual
Gender
Male
Address
120 W Broadway St, Altus, OK, 73521-3802
Phone Number
580-954-5966
Fax Number
Provider Enumeration Date
09/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 W Broadway St
City
State
Zip
73521-3802
Phone Number
580-954-5966
Fax Number
person
Provider Business Mailing Address Details
Address
120 W Broadway St
City
State
Zip
73521-3802
Phone Number
580-954-5966
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6694 (Oklahoma)
Definition
Definition to come...
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