Provider Demographics
NPI:1487947354
Name:CLAYTON, LEE ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:LEE
Middle Name:ANN
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 DAHLIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-8096
Mailing Address - Country:US
Mailing Address - Phone:415-490-7578
Mailing Address - Fax:
Practice Address - Street 1:387 DAHLIA DR
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-8096
Practice Address - Country:US
Practice Address - Phone:415-490-7578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37913106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist