Provider Demographics
NPI:1124586854
Name:CLIFTON, RAMONA (LPC)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5102 HEATHERTON DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-7813
Mailing Address - Country:US
Mailing Address - Phone:318-423-0703
Mailing Address - Fax:318-209-3138
Practice Address - Street 1:2285 BENTON RD STE D201-E
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-7933
Practice Address - Country:US
Practice Address - Phone:318-935-9113
Practice Address - Fax:318-209-3138
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
LA6450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional