Individual
DEBORAH JANE CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 S RAINBOW RD, ROGERS, AR 72758-1637
(479) 254-1144
(479) 254-1099
Mailing address
901 S RAINBOW RD, ROGERS, AR 72758-1637
(479) 254-1144
(479) 254-1099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0104016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X675
BLUE SHIELD PROVIDER #
AR
Enumeration date
06/15/2006
Last updated
04/04/2022
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