Individual
KAITLIN MICHELLE CLAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.COUN, LCPC
Contact information
Practice address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(208) 478-9081
Mailing address
420 S 4TH AVE, POCATELLO, ID 83201-6404
(208) 478-9081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10564
ID
101YP2500X
Professional Counselor
Primary
9411385
ID
Other
Enumeration date
10/27/2020
Last updated
06/22/2026
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