Individual provider · Type 1 NPI
Clyde Jerome Coulter Jr.
Professional Counselor · Midwest City, OK
NPI number
1326387192
Active
Practice location
9800 NE 10th St
Midwest City, OK 73130-1507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P080460188 (OK) |
Professional Counselor: Definition to come...
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About NPI 1326387192
Clyde Jerome Coulter Jr.'s National Provider Identifier is 1326387192, issued on Feb 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Midwest City, OK. The record was last updated on Feb 13, 2013.