Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremiah Thomas Cleveland

Individual provider Counselor · NPI 1649869579

Jeremiah Thomas Cleveland is a Counselor in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

109 S Harrill Ave
Wagoner, OK 74467-5317
Phone: (918) 370-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1649869579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021

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