Individual
PATRICIA LYNN KLOCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
728 NE 7TH ST, TRENTON, FL 32693-3637
(352) 374-5600
Mailing address
3469 SE 80TH AVE, NEWBERRY, FL 32669-7001
(352) 221-0369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH24009
FL
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH24009
FLORIDA BOARD OF CLINICAL SOCIAL WORK
FL
Enumeration date
09/27/2021
Last updated
07/16/2024
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