Individual
ANNA MARIA KLOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, EDS, LPC, LCMHC
Contact information
Practice address
1307 16TH ST, VIENNA, WV 26105-1201
(304) 282-0354
Mailing address
1307 16TH ST, VIENNA, WV 26105-1201
(304) 282-0354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2458
WV
101Y00000X
Counselor
7199
NC
Other
Enumeration date
04/19/2010
Last updated
11/13/2024
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