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Individual
MR. JOHN CLAY SELF
Active
Individual
MR. JOHN CLAY SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., L.C.D.C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5623
TX
101YM0800X
Mental Health Counselor
72206
TX
101YP2500X
Professional Counselor
Primary
72206
TX
Other
Enumeration date
09/13/2013
Last updated
03/25/2024
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