Doctor Name: | MS. DARLA FAYE KLOEPFFER |
NPI Number: | 1639358740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CADC |
License Number: | 23339 |
Business Practice Address: | 15251 Pleasant Valley Rd Center City, MN - 550129640 |
Business Phone Number: | 6512134403 |
Business Fax Number: | |
Mailing Address: | 1143 7th Ave Sw, Apt 205 FOREST LAKE |
State: | MN |
Postal Code: | 550251746 |
Phone Number: | 8479241377 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2007 |
NPI Last Update Date: | 10/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 23339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |