Individual
COURTNEY KLACZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 EGRET CREST LN, CHARLESTON, SC 29414-6073
(630) 484-3426
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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