person
Clyde Jerome Coulter JR.
Professional Counselor in Midwest City, Oklahoma
NPI 1326387192

Clyde Jerome Coulter JR. is a Professional Counselor based in Midwest City, OK and is specialized in Professional. Clyde Jerome Coulter JR. practices in Midwest City, OK. The NPI Number for Clyde Jerome Coulter JR. is 1326387192 and holds a License No. P080460188 (Oklahoma).

The current practice location address for Clyde Jerome Coulter JR. is 9800 Ne 10Th St, Midwest City, OK and can be reached out via phone at 405-706-6945. You can also correspond with Clyde Jerome Coulter JR. through the mailing address at 9800 NE 10TH ST, MIDWEST CITY, OK - 73130-1507 (mailing address contact number: 405-706-6945).

Location: 9800 Ne 10Th St, Midwest City, OK, 73130-1507
person
Provider Profile Details
NPI Number
1326387192
Provider Name
Clyde Jerome Coulter JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
9800 Ne 10Th St, Midwest City, OK, 73130-1507
Phone Number
405-706-6945
Fax Number
Provider Enumeration Date
02/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9800 Ne 10Th St
City
State
Zip
73130-1507
Phone Number
405-706-6945
Fax Number
person
Provider Business Mailing Address Details
Address
9800 Ne 10Th St
City
State
Zip
73130-1507
Phone Number
405-706-6945
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P080460188 (Oklahoma)
Definition
Definition to come...
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