Organization
CLAYTON COUNSELING LICENSED CLINICAL SOCIAL WORKER INC.
Active
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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