Carl Edward Jackson, MSLPC
Carl Edward Jackson, MSLPC is a Professional Counselor in Altus, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2011
Practice location Address checks out
120 W Broadway StAltus, OK 73521-3802
Phone: (580) 954-5966
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6694 (OK) |
|---|
Record details
| NPI number | 1891078671 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSLPC |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2011 |
| Last updated in NPPES | October 8, 2020 |
| Certification date | October 8, 2020 |
| Mailing address | 120 W Broadway St, Altus, OK 73521-3802 |
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