Lisa Klockenga PLPC

NPI 1760890172 - Counselor - 101YP2500X

NPI Details
NPI 1760890172
Gender Female
Enumeration Date 07/29/2014
Last Updated 07/29/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
306 S INDEPENDENCE ST
HARRISONVILLE MO, 64701-2352, US
Phone (816) 380-4010
Fax (417) 667-9216
Business Location
815 S ASH ST
NEVADA MO, 64772-3222, US
Phone (417) 667-8352
Fax (417) 667-9216
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 2013038286
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According to our database, Lisa Klockenga PLPC NPI is 1760890172, taxonomy code is 101YP2500X and license number is 2013038286, license state is located at Missouri. Lisa Klockenga PLPC physically located at 306 S Independence St, Harrisonville MO, 64701-2352. NPI Number Lisa Klockenga PLPC has the Individual type.

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1760890172 NPI number is provided on an as is basis without warranty of any kind. 1760890172 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Klockenga PLPC are for informational purposes only.