Provider Information for 1689304479
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HARIS CICEKLIC LPC
Sex: Male
NPI: 1689304479
Last Updated: 2022-06-14
Certification Date: 2022-06-14
Certification Date: 2022-06-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689304479 | ||||||||
| Enumeration Date | 2022-06-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 801 COUNTRY PLACE DR APT 122 HOUSTON, TX 77079-5514 United States Phone: 832-312-5573 | Fax: | ||||||||
| Primary Practice Address | 801 COUNTRY PLACE DR APT 122 HOUSTON, TX 77079-5514 United States Phone: 832-312-5573 | Fax: | ||||||||
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