Provider Demographics
NPI:1902107857
Name:CLABORN, TERRI DAWN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:DAWN
Last Name:CLABORN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:TERRI
Other - Middle Name:DAWN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 S MURRAY
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460
Mailing Address - Country:US
Mailing Address - Phone:580-371-0321
Mailing Address - Fax:580-371-0131
Practice Address - Street 1:201 S MURRAY
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460
Practice Address - Country:US
Practice Address - Phone:580-371-0321
Practice Address - Fax:580-371-0131
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor