Provider Demographics
NPI:1366115537
Name:CLEEK, WILLIAM ALAN (MA,EDS)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALAN
Last Name:CLEEK
Suffix:
Gender:M
Credentials:MA,EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 BUCK LN
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330-4242
Mailing Address - Country:US
Mailing Address - Phone:931-808-0335
Mailing Address - Fax:
Practice Address - Street 1:416 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ESTILL SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37330-4037
Practice Address - Country:US
Practice Address - Phone:931-649-3408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool