| Clayton Counseling Licensed Clinical Social Worker Inc. | |
|
2180 Garnet Ave Ste 2e San Diego CA 92109-3675 | |
| (858) 688-4269 | |
| Not Available |
| Full Name | Clayton Counseling Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2180 Garnet Ave Ste 2e, San Diego, California |
| Authorized Official Name and Position | Kristen Michelle Clayton (CEO) |
| Authorized Official Contact | 8586884269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Counseling Licensed Clinical Social Worker Inc. Po Box 22063 San Diego CA 92192-2063 Ph: () - | Clayton Counseling Licensed Clinical Social Worker Inc. 2180 Garnet Ave Ste 2e San Diego CA 92109-3675 Ph: (858) 688-4269 |
| NPI Number | 1902426018 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902426018 | NPI | - | NPPES |
| 1396914057 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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