Individual
EMILY J KLINGENSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
JONES PARK ELEMENTARY HEALTHY KIDS CLINIC 6295 E KY 70, LIBERTY, KY 42539
(844) 435-0900
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
248597
KY
101YM0800X
Mental Health Counselor
LPCCCA00225150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14478733
CAQH
KY
05
—
7100607120
—
KY
Enumeration date
03/03/2016
Last updated
08/12/2024
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