Individual
ETHEL DELOIS CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
990 BANNOCK ST, MC7782, DENVER, CO 80204-4028
(720) 956-2394
(720) 956-2533
Mailing address
990 BANNOCK ST, MC 7782, DENVER, CO 80204-4028
(303) 436-3536
(303) 436-3500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC-6626
CO
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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