Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

C Jesse Carlock Ph D & Associates

Organization Mental Health Counselor · NPI 1801994199

C Jesse Carlock Ph D & Associates is a Mental Health Counselor in Dayton, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

1105 Watervliet Ave
Dayton, OH 45420
Phone: (937) 256-0500
Fax: (937) 256-2136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1801994199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlene Carlock — Owner /Psychologist · (937) 256-0500
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 13, 2009
Mailing address1105 Watervliet Ave, Dayton, OH 45420

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