Provider Demographics
NPI:1063098424
Name:CLAYTON, COLIN AIDAN (LCMHC-A, LCAS-A, CRC)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:AIDAN
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:LCMHC-A, LCAS-A, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WEDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2226
Mailing Address - Country:US
Mailing Address - Phone:828-252-8748
Mailing Address - Fax:
Practice Address - Street 1:18 WEDGEFIELD DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2226
Practice Address - Country:US
Practice Address - Phone:828-252-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NCA16532101YM0800X
NCLCAS-27333101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health