KENNETH E CLIFTON MS NPI 1003002569

Counselor (Mental Health) in Jblm, WA

About KENNETH CLIFTON

Kenneth Clifton is a provider in Jblm, WA. The NPI number assigned to this provider is 1003002569. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 2 years ago.

NPI1003002569 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name KENNETH E CLIFTON MS
Provider Location Address9922-B EAST JOHNSON ST JBLM, WA 98431 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address9040-A REID ST JBLM, WA 98431 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-19-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-24-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KENNETH E CLIFTON MS
9922-B EAST JOHNSON ST
JBLM, WA
ZIP 98431
Phone: (253) 968-4631
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Mailing Address

KENNETH E CLIFTON MS
9040-A REID ST
JBLM, WA
ZIP 98431
Phone: (253) 968-6442

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.LH 60143083
License StateWA

Map Location


KENNETH E CLIFTON MS address is 9922-B EAST JOHNSON ST JBLM, WA 98431