Individual
CLAYTON THOMAS OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 JEFFERSON AVE, PAINTSVILLE, KY 41240-1471
(606) 789-6966
Mailing address
628 JEFFERSON AVE, PAINTSVILLE, KY 41240-1471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
173861
KY
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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