Individual
BRYAN KEVIN CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS,MH,SA
Contact information
Practice address
210 N CHARLES ST, ROXBORO, NC 27573-4904
(336) 647-4384
Mailing address
PO BOX 1515, ROXBORO, NC 27573-1515
(336) 647-4384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2018-5396-01
NC
101YM0800X
Mental Health Counselor
Primary
2018-5396-01
NC
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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