Provider Demographics
NPI:1760626592
Name:ARTERBURN, DON RAY (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:RAY
Last Name:ARTERBURN
Suffix:
Gender:M
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-3113
Mailing Address - Country:US
Mailing Address - Phone:806-777-6807
Mailing Address - Fax:806-765-2630
Practice Address - Street 1:3200 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-3113
Practice Address - Country:US
Practice Address - Phone:806-777-6807
Practice Address - Fax:806-765-2630
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4922106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist