Doctor Name: | JOCELYNE KLASEN |
NPI Number: | 1063854263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 0154901 |
Business Practice Address: | 02 Twin Buttes Zuni, NM - 87327 |
Business Phone Number: | 5057825719 |
Business Fax Number: | |
Mailing Address: | P.o.box 339, ZUNI |
State: | NM |
Postal Code: | 87327 |
Phone Number: | 5057825719 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2013 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0154901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |