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Jacob Clayton, LCSW

NPI 1851383871 · on the registry since 2005

Practice

Address
106 Three Rivers N
Fort Wayne, IN 46802
Phone
(260) 426-5778
Organisation at this address
Black & Associates Counseling Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana