Individual
RICHARD WALLACE KLOMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1810 PEACHTREE INDUSTRIAL BLVD STE 231, DULUTH, GA 30097-8178
(404) 518-4325
Mailing address
3275 OAK HAMPTON WAY, DULUTH, GA 30096-5882
(404) 518-4325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003903
GA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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