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Individual

MRS. COURTNEY LEE MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
201 POSEY AVE, CLIFTON, TX 76634-1200
(254) 675-8621
(254) 675-2254
Mailing address
PO BOX 72, CLIFTON, TX 76634-0072
(254) 675-8621
(254) 675-2254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
64439
TX
101YP2500X
Professional Counselor
Primary
64439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210663508
TX
Enumeration date
04/06/2010
Last updated
07/28/2022
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