Individual
PHILIP KLONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5620 W WILDWOOD RANCH PKWY, JOPLIN, MO 64804-4520
(417) 623-1990
(417) 623-9931
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018043865
MO
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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