CARL EDWARD JACKSON

ALTUS, OK
NPI1891078671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OK  6694)
Enumeration Date2011-09-28
Last Update Date2020-10-08
Business Address
CARL EDWARD JACKSON M.S. LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-954-5966
Mailing Address
CARL EDWARD JACKSON M.S. LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-954-5966
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