Provider Demographics
NPI:1073847570
Name:CLAYTON, DEBRA JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:JEAN
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:JEAN
Other - Last Name:COLVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2852C HIGHWAY 62 412
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72542-9201
Mailing Address - Country:US
Mailing Address - Phone:870-856-2044
Mailing Address - Fax:844-360-6320
Practice Address - Street 1:2852C HIGHWAY 62 412
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:AR
Practice Address - Zip Code:72542-9201
Practice Address - Country:US
Practice Address - Phone:870-856-2044
Practice Address - Fax:844-360-6320
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ARP1507080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health