Individual
DIANNA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5751 PARK VISTA CIR STE 101, FORT WORTH, TX 76244-5607
(817) 812-2880
Mailing address
189 BRYSON RIDGE DR, BOWIE, TX 76230-8530
(940) 781-5310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
66078
TX
101YM0800X
Mental Health Counselor
Primary
66078
TX
101YP2500X
Professional Counselor
66078
TX
Other
Enumeration date
02/24/2016
Last updated
06/14/2016
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