Wellformed AI

NPI 1649296831 · live from the CMS NPI Registry

Jacquyn W Cleary, LPC, LMFT

Marriage & Family Therapist in Tulsa, OK. National Provider Identifier 1649296831, active.

NPI record

NPI1649296831 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location5110 S Yale Ave, Suite 102, Tulsa, OK 74135
Practice phone918-492-2385
EnumeratedJuly 14, 2006
Last updatedSeptember 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X466 (OK)
Marriage & Family Therapist primary106H00000X494 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.