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Individual

MR. CLIFTON FOREST CYPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHR, LPC

Contact information

Practice address
4575 VISTA VALLEY LN, EDMOND, OK 73025-1189
(405) 222-7898
(405) 513-5970
Mailing address
4575 VISTA VALLEY LN, EDMOND, OK 73025-1189
(405) 222-7898
(405) 513-5970

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
OK
101YP2500X
Professional Counselor
Primary
6437
OK
103K00000X
Behavior Analyst

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200414750B
OK
Enumeration date
12/28/2011
Last updated
11/06/2017
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