Carl Edward Jackson, M.S. LPC

NPI #1891078671 in Altus, Oklahoma

Provider Information

NPI Number
1891078671
Entity Type
Individual
Name
Carl Edward Jackson, M.S. LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
M.S. LPC
Enumeration Date
Sep 28, 2011
Last Updated
Oct 8, 2020

Practice Location

Address
120 W BROADWAY ST
City
Altus
ZIP Code
73521-3802
Phone
(580) 954-5966

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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