Individual
JOHN KLENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-C
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 592-8614
Mailing address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 592-8614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
01/16/2018
Last updated
03/26/2021
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