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Jeremiah Thomas Cleveland
Counselor in Wagoner, Oklahoma
NPI 1649869579

Jeremiah Thomas Cleveland is a Counselor based in Wagoner, OK. Jeremiah Thomas Cleveland practices in Wagoner, OK. The NPI Number for Jeremiah Thomas Cleveland is 1649869579 and holds a License No. (Oklahoma).

The current practice location address for Jeremiah Thomas Cleveland is 109 S Harrill Ave, Wagoner, OK and can be reached out via phone at 918-370-4922.

Location: 109 S Harrill Ave, Wagoner, OK, 74467-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649869579
Provider Name
Jeremiah Thomas Cleveland
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 S Harrill Ave, Wagoner, OK, 74467-5317
Phone Number
918-370-4922
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-370-4922
Fax Number
person
Provider Business Mailing Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-370-4922
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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