Individual
EDWARD F KLODZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3603 E. JEFFERSON BLVD., SOUTH BEND, IN 46615
(574) 287-7323
(574) 287-7365
Mailing address
3603 E. JEFFERSON BLVD., SOUTH BEND, IN 46615
(574) 287-7323
(574) 287-7365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000141A
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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