Provider Demographics
NPI:1164161311
Name:CLAYTON, HANNAH MARIE (LCMHCA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 BROOKLYN LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1504
Mailing Address - Country:US
Mailing Address - Phone:828-226-8017
Mailing Address - Fax:
Practice Address - Street 1:3 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-4502
Practice Address - Country:US
Practice Address - Phone:828-649-5016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17491101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty