Healthcare Provider Details

I. General information

NPI: 1316867427
Provider Name (Legal Business Name): VICTORIA ISABEL CLAYTON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 WASS ST
TUSTIN CA
92780-2853
US

IV. Provider business mailing address

12453 LEWIS ST STE 201
GARDEN GROVE CA
92840-4680
US

V. Phone/Fax

Practice location:
  • Phone: 408-655-1087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number139924
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: