Search › Oklahoma › 101YP2500X
Carl Jackson, M.S. LPC
NPI 1891078671 · on the registry since 2011 · sole proprietor
Practice
- Address
- 120 W Broadway St
Altus, OK 73521 - Phone
- (580) 954-5966
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma