Pearce, Clayton Wallace

Pearce, Clayton Wallace is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Pearce, Clayton Wallace can be contacted via phone (554) 188-3103.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (554) 188-3103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0191011 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1225321573
LBN Legal business name Pearce, Clayton Wallace
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2011
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225321573 NPPES
New Mexico Other 0191011 STATE LICENSE

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