person
Jacob Thaddeus Clayton, LCSW
Professional Counselor in Fort Wayne, Indiana
NPI 1851383871

Jacob Thaddeus Clayton is a Professional Counselor based in Fort Wayne, IN and is specialized in Professional. Jacob Thaddeus Clayton practices in Fort Wayne, IN and has the professional credentials of LCSW. The NPI Number for Jacob Thaddeus Clayton is 1851383871 and holds a License No. 34005012A (Indiana).

The current practice location address for Jacob Thaddeus Clayton is 106 Three Rivers N, Fort Wayne, IN and can be reached out via phone at 260-426-5778.

Location: 106 Three Rivers N, Fort Wayne, IN, 46802-1312
person
Provider Profile Details
NPI Number
1851383871
Provider Name
Jacob Thaddeus Clayton
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
106 Three Rivers N, Fort Wayne, IN, 46802-1312
Phone Number
260-426-5778
Fax Number
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
106 Three Rivers N
City
State
Zip
46802-1312
Phone Number
260-426-5778
Fax Number
person
Provider Business Mailing Address Details
Address
106 Three Rivers N
City
State
Zip
46802-1312
Phone Number
260-426-5778
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
34005012A (Indiana)
Definition
Definition to come...
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