# KLC BEHAVIORAL HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780287466
- **Authorized official:** KATHRYN CLEMENTS (OWNER)
- **Authorized official phone:** (541) 797-5300

## Contact information

- **Practice address:** 2109 VAN BUREN ST, EUGENE, OR 97405-2166
- **Practice address phone:** (541) 797-5300
- **Mailing address:** 2109 VAN BUREN ST, EUGENE, OR 97405-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 12/29/2020