Individual provider · Type 1 NPI

Philip Klonowski

Professional Counselor · Joplin, MO

NPI number 1164993176 Active

Practice location

5620 W Wildwood Ranch Pkwy
Joplin, MO 64804-4520

Fax (417) 623-9931

Mailing address

118 N 2nd St Ste 200
St. Charles, MO 63301-2894

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2018043865 (MO)

Professional Counselor: Definition to come...

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About NPI 1164993176

Philip Klonowski's National Provider Identifier is 1164993176, issued on Dec 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Joplin, MO. The record was last updated on Dec 17, 2018.