Provider Demographics
NPI:1508408931
Name:CLIFTON, ALLISON JO (LPC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JO
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 1:5189 TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4529
Mailing Address - Country:US
Mailing Address - Phone:325-514-0930
Mailing Address - Fax:
Practice Address - Street 1:5189 TEXAS AVE
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4529
Practice Address - Country:US
Practice Address - Phone:325-514-0930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78631101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor