Provider Demographics
NPI:1609005883
Name:MAJOR, CLAYTON LAMBERT SR (MS)
Entity Type:Individual
Prefix:MR
First Name:CLAYTON
Middle Name:LAMBERT
Last Name:MAJOR
Suffix:SR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 VELASCO ST STE J2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-2761
Mailing Address - Country:US
Mailing Address - Phone:239-226-4357
Mailing Address - Fax:239-226-4352
Practice Address - Street 1:1960 VELASCO ST STE J2
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-2761
Practice Address - Country:US
Practice Address - Phone:239-226-4357
Practice Address - Fax:239-226-4352
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 101Y00000X
FL4859101YA0400X
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor