Penny Carlson, M.S. LPC SUPERVISED
Individual provider Active NPI Mental Health Counselor · Altus, OK
NPI 1811320906 · NPPES record last updated Jan 3, 2014
Key facts
- NPI
- 1811320906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 317 N Hudson St
Altus, OK 73521-3709 - Phone
- (580) 482-2809
- Fax
- (580) 482-2820
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
317 N Hudson St
Altus, OK 73521-3709
Mailing address
319 N Hudson St
Altus, OK 73521-3709
Other providers in Altus, OK
- Erica Camilletti
- James Robert Campbell III
- Cancer Centers of Southwest Oklahoma, LLC
- Jesse Belle Carapia Gonzalez
- Jorge Cardenas
- Marla K Carnes
- Kimberly Kay Carpenter
- Charles C Carter
- Tammy Lynn Carter
- Tom Stephen Carter
All providers in Altus, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.