Individual
KENNETH E CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-4631
Mailing address
9040 JACKSON AVE, JBLM, WA 98431
(253) 968-4851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61134782
WA
101YM0800X
Mental Health Counselor
LH 60143083
WA
1041C0700X
Clinical Social Worker
Primary
149.023940
IL
Other
Enumeration date
09/19/2007
Last updated
03/24/2025
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