| NPI | 1790029734 |
|---|---|
| Former Legal Business Name | KLOCH COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN M KLOCH Owner 308-324-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 986) |
| Additional Taxonomies | 251S00000X (Licence: NE 986) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 955) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-01 |