Individual
ALYCIA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 ORONOCO ST STE 305, ALEXANDRIA, VA 22314-2089
(757) 319-3250
Mailing address
316 LISMOE DRIVE, FORT WASHINGTON, MD 20744
(757) 319-3250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904010190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904010190
VA BOARD OF SOCIAL WORKLICENSE NUMBER
VA
Enumeration date
12/04/2017
Last updated
07/16/2018
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