Individual
JOHN B CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICADC
Contact information
Practice address
1275 N 400 E, RUPERT, ID 83350-8538
(208) 271-4363
Mailing address
2267 RIDGE AVE, CLERMONT, FL 34711-8532
(407) 668-7834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0702989
FL
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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