| Doctor Name: | GRETCHEN LEANE CLAYTON |
| NPI Number: | 1164705695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | P1103017 |
| Business Practice Address: | 100 N Rockingchair Rd Ste 1-3 Paragould, AR - 724502413 |
| Business Phone Number: | 8703359617 |
| Business Fax Number: | 8703359618 |
| Mailing Address: | 100 N Rockingchair Rd Ste 1-3, PARAGOULD |
| State: | AR |
| Postal Code: | 724502413 |
| Phone Number: | 8703359617 |
| Fax Number: | 8703359618 |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 09/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P1103017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |