Doctor Name: | ANDREW KLEMENT |
NPI Number: | 1124431804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 125 W Granite St Butte, MT - 597019215 |
Business Phone Number: | 4064915033 |
Business Fax Number: | |
Mailing Address: | 125 W Granite St, BUTTE |
State: | MT |
Postal Code: | 597019215 |
Phone Number: | 4064915033 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2014 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |