Individual
MR. CHRISTOPHER JUSTIN CLAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2725 HWY 60 E, BARTOW, FL 33830-8872
(863) 533-4139
Mailing address
4916 DUNN RD, LAKELAND, FL 33812-4270
(863) 510-4350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22968
FL
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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