Individual
MR. SCOTT CHRISTIAN KLOCK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LPC, LMFT, NCC
Contact information
Practice address
3001 5TH ST, METAIRIE, LA 70002-1865
(504) 756-2989
(504) 832-4040
Mailing address
47 TRIBUNE ST, METAIRIE, LA 70001-5731
(504) 756-2989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2966
LA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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