Individual provider · Type 1 NPI
Cletus Gibbs
Mental Health Counselor · Frederick, OK
NPI number
1275992802
Active
Practice location
1500 North Main
Frederick, OK 73542
Mailing address
1625 N 13th St, Apartment 8
Frederick, OK 73542-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1275992802
Cletus Gibbs's National Provider Identifier is 1275992802, issued on Feb 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Frederick, OK. The record was last updated on Feb 10, 2016.