Organization
KATHRYN KLOCK-POWELL AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN KLOCKPOWELL PHD, LMFT, RPT-S (THERAPIST)
(912) 441-5887
Entity
Organization
Contact information
Practice address
711 ZITTEROUR DR, RINCON, GA 31326-9269
(912) 441-5887
(912) 826-2996
Mailing address
PO BOX 1421, SPRINGFIELD, GA 31329-1421
(912) 441-5887
(912) 826-2996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1007
GA
Other
Enumeration date
11/17/2016
Last updated
02/07/2017
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