Individual
ANGELIA CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-III
Contact information
Practice address
106 12TH ST SW, MASSILLON, OH 44647-6383
(330) 209-8165
Mailing address
106 12TH ST SW, MASSILLON, OH 44647-6383
(330) 209-8165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461340
—
OH
01
—
1568131712
NPI
—
Enumeration date
09/10/2021
Last updated
01/16/2024
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