Individual
JACQUYN W CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
5110 S YALE AVE, SUITE 102, TULSA, OK 74135-7401
(918) 492-2385
(918) 492-1579
Mailing address
5110 S YALE AVE, SUITE 102, TULSA, OK 74135-7401
(918) 492-2385
(918) 492-1579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
466
OK
106H00000X
Marriage & Family Therapist
Primary
494
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09165
CIGNA BEHAV HEALTH
OK
01
—
5644044
AETNA BEHAV HEALTH
—
Enumeration date
07/14/2006
Last updated
09/11/2025
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