Clay, Deborah Jane

Clay, Deborah Jane is an sole proprietor health care provider with primary practice located at 901 S Rainbow Rd , Rogers AR 72758-1637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clay, Deborah Jane can be contacted via phone (479) 254-1144.

Contact Information

Primary practice address
901 S Rainbow Rd Rogers AR 72758-1637
Fax: (479) 254-1099
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0104016 Arkansas

Profile Details

NPI number 1457395857
LBN Legal business name Clay, Deborah Jane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Apr 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457395857 NPPES
Arkansas Other 5X675 BLUE SHIELD PROVIDER #

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