Individual
MS. LAURA KLOCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PO BOX 16, MATAWAN, NJ 07747-0016
(732) 705-1317
Mailing address
PO BOX 16, MATAWAN, NJ 07747-0016
(732) 705-1317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00564500
NJ
101YM0800X
Mental Health Counselor
37PC00564500
NJ
101YP2500X
Professional Counselor
37PC00564500
NJ
251S00000X
Community/Behavioral Health Agency
Primary
37PC00564500
NJ
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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