Individual provider · Type 1 NPI

Jacob Thaddeus Clayton, LCSW

Professional Counselor · Fort Wayne, IN

NPI number 1851383871 Active

About NPI 1851383871

Jacob Thaddeus Clayton, LCSW's National Provider Identifier is 1851383871, issued on Aug 16, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.