Provider Demographics
NPI:1043327794
Name:CLUXTON, JOHN C (PHD,LMFT,LMHC,NCC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:CLUXTON
Suffix:
Gender:M
Credentials:PHD,LMFT,LMHC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 FOREST PARK CIR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4916
Mailing Address - Country:US
Mailing Address - Phone:850-215-5657
Mailing Address - Fax:850-215-5658
Practice Address - Street 1:215 FOREST PARK CIR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4916
Practice Address - Country:US
Practice Address - Phone:850-215-5657
Practice Address - Fax:850-215-5658
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6603101YM0800X
FLMT1678106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ096COtherBCBS OF FL PROVIDER #
FL7872743OtherGREENWAVE AETNA PROVIDER