Provider Demographics
NPI:1134911787
Name:CLELAND, CARYN JEAN (SCHOOL COUNSELOR)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:JEAN
Last Name:CLELAND
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 G ST
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-3417
Mailing Address - Country:US
Mailing Address - Phone:707-464-0320
Mailing Address - Fax:
Practice Address - Street 1:994 G ST
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-3417
Practice Address - Country:US
Practice Address - Phone:707-464-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool