| Doctor Name: | CLAY WILLIAM DOKKEN |
| NPI Number: | 1154626711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PPC |
| License Number: | 1336 |
| Business Practice Address: | 400 S Kendrick Ave Suite 204 Gillette, WY - 827163848 |
| Business Phone Number: | 3076857115 |
| Business Fax Number: | |
| Mailing Address: | 2716 Sagebrush Ave, CHEYENNE |
| State: | WY |
| Postal Code: | 820094437 |
| Phone Number: | 3072875141 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2011 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |