| Clayton Behavioral | |
|
9890 Clayton Rd Saint Louis MO 63124-1685 | |
| (314) 222-5860 | |
| (314) 222-5861 |
| Full Name | Clayton Behavioral |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9890 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Kristen Carothers (THERAPIST) |
| Authorized Official Contact | 3142225860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Behavioral 9890 Clayton Rd Saint Louis MO 63124-1685 Ph: (314) 222-5860 | Clayton Behavioral 9890 Clayton Rd Saint Louis MO 63124-1685 Ph: (314) 222-5860 |
| NPI Number | 1861943953 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861943953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2012013694 (Missouri) | Primary |
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