Cletus Gibbs
Individual provider Active NPI Mental Health Counselor · Frederick, OK
NPI 1275992802 · NPPES record last updated Feb 10, 2016
Key facts
- NPI
- 1275992802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1500 North Main
Frederick, OK 73542 - Phone
- (580) 335-3320
- NPI assigned
- Feb 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1500 North Main
Frederick, OK 73542
Mailing address
1625 N 13TH St
Apartment 8
Frederick, OK 73542-1433
Phone (580) 210-8215
Other providers in Frederick, OK
- Frederick Pharmacy, Inc.
- Full Circle Therapy
- Patricia Ann Gaffney
- Teresa Dianne Gant
- Garrett Gilmore Counseling & Consulting, PLLC
- Garrett Thomas Gilmore
- Gregory S. Howard DC PC
- Elaine Marie Harder
- Gregory Scott Howard
- Alyssa Jnai Huggins
All providers in Frederick, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.