Jacob Thaddeus Clayton in Fort Wayne - Professional

Jacob Thaddeus Clayton - NPI 1851383871

Jacob Thaddeus Clayton is a Professional in Fort Wayne, Indiana. Jacob Thaddeus Clayton practices all healthcare services and medical treatments related to Professional. The NPI Number for Jacob Thaddeus Clayton is 1851383871. The last update date is 2007-07-08.

Jacob Thaddeus Clayton's current location address is 106 Three Rivers N, Fort Wayne, Indiana. You can contact this provider via phone number 2604265778. The mailing address for Jacob Thaddeus Clayton is 106 Three Rivers N, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Thaddeus Clayton
Address 106 Three Rivers N, Fort Wayne, Indiana
Phone Number 2604265778
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1851383871
Provider Enumeration Date 2005-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 Three Rivers N
City Fort Wayne
State Indiana (IN)
Post Code 468021312
Phone Number 2604265778
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 34005012A
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Jacob Thaddeus Clayton

What is the Jacob Thaddeus Clayton's 1851383871?

The Jacob Thaddeus Clayton's NPI (National Provider Identifier) Number is 1851383871. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jacob Thaddeus Clayton's facilities are geographically located?

The facilities of Jacob Thaddeus Clayton are physically situated at the following location: 106 Three Rivers N, Fort Wayne, IN, 468021312.

What is the area of specialization for Jacob Thaddeus Clayton, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacob Thaddeus Clayton is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.

When did the Jacob Thaddeus Clayton receive its 1851383871?

The Jacob Thaddeus Clayton was issued its 1851383871 on 2005-08-16, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jacob Thaddeus Clayton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jacob Thaddeus Clayton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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