Individual
SUSAN KLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
1201 PARK ST, LEXINGTON, NE 68850-1536
(308) 324-7017
(866) 578-3559
Mailing address
101 W 8TH ST, SUITE A, LEXINGTON, NE 68850-1971
(308) 324-7017
(866) 578-3559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
955
NE
1041C0700X
Clinical Social Worker
Primary
986
NE
Other
Enumeration date
02/08/2007
Last updated
10/30/2012
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