Individual
ANN MARIE CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
7811 W USTICK RD APT 101, BOISE, ID 83704-5890
(208) 490-0438
Mailing address
7811 W USTICK RD APT 101, BOISE, ID 83704-5890
(208) 490-0438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7025
ID
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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