Individual
MICHELLE KLOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 N BELL TRACE CIR, BLOOMINGTON, IN 47408
(812) 323-2858
Mailing address
3210 E 10TH ST UNIT 5163, BLOOMINGTON, IN 47408-2753
(562) 706-5175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
20042655A
IN
Other
Enumeration date
11/05/2009
Last updated
09/11/2018
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