Individual
MERCEDES CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 JOHNSTON ST STE 300, LAFAYETTE, LA 70503-3263
(337) 446-4707
Mailing address
707 VENUS DR, LAFAYETTE, LA 70501-2329
(225) 448-6245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PLC9876
LA
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600964601
—
LA
Enumeration date
06/17/2019
Last updated
10/26/2023
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