Provider Demographics
NPI:1437694189
Name:JECH, CLAYTON (LPC)
Entity Type:Individual
Prefix:MR
First Name:CLAYTON
Middle Name:
Last Name:JECH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W FM 545
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:75424-4401
Mailing Address - Country:US
Mailing Address - Phone:214-578-4766
Mailing Address - Fax:214-291-2679
Practice Address - Street 1:200 W FM 545
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:TX
Practice Address - Zip Code:75424-4401
Practice Address - Country:US
Practice Address - Phone:214-578-4766
Practice Address - Fax:214-291-2679
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional