Individual
LANAE ALEXANDRIA CLAYBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
512 E CHICKASAW AVE, MCALESTER, OK 74501-5354
(918) 302-0389
(918) 302-3809
Mailing address
512 E CHICKASAW, PO BOX 3655, MCALESTER, OK 74502
(918) 302-0389
(918) 302-3809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639594492
—
OK
Enumeration date
03/03/2014
Last updated
05/22/2019
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