Joanne Sue Claytor, LCSW
Individual provider Active NPI Mental Health Counselor · Alta Loma, CA
NPI 1407290232 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1407290232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCS23682 (CA)
- Practice address
- 7273 Garnet St
Alta Loma, CA 91701-5611 - Phone
- (909) 945-5619
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS23682 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS23682 | CA | Yes |
Addresses
Primary practice location
7273 Garnet St
Alta Loma, CA 91701-5611
Mailing address
7273 Garnet St
Alta Loma, CA 91701-5611
Phone (909) 945-5619
Other providers in Alta Loma, CA
- Jamie Castro
- CDR Rancho Cucamonga TRS LLC
- Bob Chen
- Ivy Ya Wen Cheng
- Daniel E Clayton
- L. Todd Cochran
- Natalie Corinne Cochran
- Dominique Connor
- Daniel Quesada David
- Michelle David
All providers in Alta Loma, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.