Individual
MR. THOMAS DAVID KLOPFENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW LCAC
Contact information
Practice address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956
Mailing address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000150A
IN
104100000X
Social Worker
Primary
34004597A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114180
—
IN
05
—
200095080A
—
IN
Enumeration date
08/31/2005
Last updated
01/20/2011
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