Individual
MR. JEFFREY ERIC CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5809 SE 88TH ST, OKLAHOMA CITY, OK 73135-6095
(405) 414-7178
Mailing address
5809 SE 88TH ST, OKLAHOMA CITY, OK 73135-6095
(405) 414-7178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100639970 A
—
OK
Enumeration date
03/19/2007
Last updated
07/08/2007
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