Individual provider · Type 1 NPI

Jeremiah Thomas Cleveland

Counselor · Wagoner, OK

NPI number 1649869579 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 370-4922 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1649869579

Jeremiah Thomas Cleveland's National Provider Identifier is 1649869579, issued on Jan 14, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Jan 14, 2021.