Individual provider · Type 1 NPI

Stan Kletkewicz Jr., MA

Professional Counselor · Medford, NJ

NPI number 1790143626 Active

Practice location

66 N Main St
Medford, NJ 08055-2719

Mailing address

1436 Hainesport Rd
Mount Laurel, NJ 08054-9509

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00231700 (NJ)

Professional Counselor: Definition to come...

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About NPI 1790143626

Stan Kletkewicz Jr., MA's National Provider Identifier is 1790143626, issued on Feb 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, NJ. The record was last updated on Feb 6, 2016.