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IndividualActive

Carl Edward Jackson

M.S. LPC

Counselor - Professional

NPI: 1891078671Altus, Oklahoma, 73521(580) 954-5966Male

About Carl Edward Jackson

Carl Edward Jackson, M.S. LPC, is a male healthcare professional specializing in Counselor - Professional with a focus on Professional, registered under National Provider Identifier (NPI) number 1891078671.

Their primary practice is located at 120 W BROADWAY ST, Altus, Oklahoma 73521. Patients can reach the office at (580) 954-5966. Carl Edward Jackson has been NPI-registered since 2011.

Doctor Details

Identity & Credentials

NPI Number
1891078671
Entity Type
Individual
First Name
Carl
Last Name
Jackson
Credential
M.S. LPC
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
120 W BROADWAY ST
City
Altus
State
Oklahoma
ZIP
73521-3802
Country
United States
Phone
(580) 954-5966

Specialty & Taxonomy

Primary Specialty
Counselor - Professional
Classification
Counselor
Specialization
Professional
Taxonomy Code
101YP2500X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
120 W BROADWAY ST
City
ALTUS
State
OK
ZIP
735213802

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Carl Edward Jackson's NPI number?
Carl Edward Jackson's National Provider Identifier (NPI) is 1891078671. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Carl Edward Jackson specialize in?
Carl Edward Jackson specializes in Counselor - Professional.
Where is Carl Edward Jackson located?
Carl Edward Jackson practices at 120 W BROADWAY ST, Altus, Oklahoma 73521. You can reach them by phone at (580) 954-5966.
Does Carl Edward Jackson accept Medicare?
Based on available data, Carl Edward Jackson is not currently enrolled in the Medicare program.
Does Carl Edward Jackson offer telehealth or virtual visits?
Carl Edward Jackson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Carl Edward Jackson is 1891078671.