Individual provider · Type 1 NPI

Carl Edward Jackson, M.S. LPC

Professional Counselor · Altus, OK

NPI number 1891078671 Active

About NPI 1891078671

Carl Edward Jackson, M.S. LPC's National Provider Identifier is 1891078671, issued on Sep 28, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Altus, OK. The record was last updated on Oct 8, 2020.