Individual
JARVIS T. CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
14 OFFICE PARK CIR STE 102, MOUNTAIN BRK, AL 35223-2519
(205) 639-8081
Mailing address
14 OFFICE PARK CIR STE 102, MOUNTAIN BRK, AL 35223-2519
(205) 639-8081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4887G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832197896
—
AL
Enumeration date
12/30/2019
Last updated
12/30/2019
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