Provider Demographics
NPI:1710153622
Name:CLIFTON, CATHERINE TIERCE (LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:TIERCE
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 1:600 BEL AIR BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3511
Mailing Address - Country:US
Mailing Address - Phone:251-473-1850
Mailing Address - Fax:251-473-1849
Practice Address - Street 1:600 BEL AIR BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3511
Practice Address - Country:US
Practice Address - Phone:251-473-1850
Practice Address - Fax:251-473-1849
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional