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Organization

APPLIED MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY ERIC CARTER I LPC (CHEIF EXECUTIVE OFFICER)
(405) 414-7178
Entity
Organization

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
103TC0700X
Clinical Psychologist
Primary
102
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20008270A
OK
Enumeration date
05/15/2007
Last updated
08/22/2020
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