Doctor Name: | CHRIS CLAYTON |
NPI Number: | 1043640261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 474 W 200 N St George, UT - 847704505 |
Business Phone Number: | 4356345600 |
Business Fax Number: | 4359868702 |
Mailing Address: | 474 W 200 N, ST GEORGE |
State: | UT |
Postal Code: | 847704505 |
Phone Number: | 4356345600 |
Fax Number: | 4359868702 |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |