| Doctor Name: | KENNETH E CLIFTON |
| NPI Number: | 1003002569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | LH 60143083 |
| Business Practice Address: | 9922-b East Johnson St Jblm, WA - 984311100 |
| Business Phone Number: | 2539684631 |
| Business Fax Number: | |
| Mailing Address: | 9040-a Reid St, JBLM |
| State: | WA |
| Postal Code: | 98431 |
| Phone Number: | 2539686442 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 60143083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |