Organization
CLAYTON COUNSELING LICENSED CLINICAL SOCIAL WORKER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MICHELLE CLAYTON LCSW (CEO)
(858) 688-4269
Entity
Organization
Contact information
Practice address
2180 GARNET AVE STE 2E, SAN DIEGO, CA 92109-3675
(858) 688-4269
Mailing address
PO BOX 22063, SAN DIEGO, CA 92192-2063
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396914057
NPI
CA
Enumeration date
04/17/2020
Last updated
04/17/2020
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