Individual provider · Type 1 NPI
Courtney Klacza
Mental Health Counselor · Charleston, SC
NPI number
1780197665
Active
Practice location
2122 Egret Crest Ln
Charleston, SC 29414-6073
Mailing address
55 Beattie Pl Ste 810
Greenville, SC 29601-2191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1780197665
Courtney Klacza's National Provider Identifier is 1780197665, issued on Nov 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Nov 14, 2017.