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Timothy Micah Cloeter

Counselor, Professional in Tulsa, OK. Individual provider (NPI-1).

NPI number1861908659
StatusActive
Last updated in NPPESJul 14, 2021

Details

NPI
1861908659
Entity type
Individual (NPI-1)
Name
Timothy Micah Cloeter
Sex
Male
Sole proprietor
No
Enumeration date
Dec 16, 2017
Certification date
Jul 14, 2021
Last updated
Jul 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPCCANDIDATE10171OKYes
171M00000X Case Manager/Care Coordinator––

Practice location

2325 S Harvard Ave
Tulsa, OK 74114-3300

Phone 918-712-4301

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429

Phone 918-587-9471 · Fax 918-560-1399

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