Provider Demographics
NPI:1922325091
Name:CLAY, CLAUDETTE H (LPC)
Entity Type:Individual
Prefix:MS
First Name:CLAUDETTE
Middle Name:H
Last Name:CLAY
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 1:24607 AMBERLEAF CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4299
Mailing Address - Country:US
Mailing Address - Phone:281-395-2223
Mailing Address - Fax:
Practice Address - Street 1:24607 AMBERLEAF CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4299
Practice Address - Country:US
Practice Address - Phone:281-395-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional