Individual provider · Type 1 NPI
Richard Wallace Klomp, LPC
Mental Health Counselor · Duluth, GA
NPI number
1972121929
Active
Practice location
1810 Peachtree Industrial Blvd Ste 231
Duluth, GA 30097-8178
Mailing address
3275 Oak Hampton Way
Duluth, GA 30096-5882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC003903 (GA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1972121929
Richard Wallace Klomp, LPC's National Provider Identifier is 1972121929, issued on Jul 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Duluth, GA. The record was last updated on Jul 7, 2020.