Individual
IAN CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
353 W MAIN ST, LEOLA, PA 17540-2107
(717) 827-7253
Mailing address
11 S WATERFORD AVE, MARIETTA, PA 17547-1530
(848) 444-3993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC000291
PA
101YP2500X
Professional Counselor
Primary
APC000291
PA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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