Klecker, Deborah J

Klecker, Deborah J is an sole proprietor health care provider with primary practice located at 970 S Silver Lake St Suite #103, Oconomowoc WI 53066-3802. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Klecker, Deborah J can be contacted via phone (262) 567-7377.

Contact Information

Primary practice address
970 S Silver Lake St Suite #103 Oconomowoc WI 53066-3802
Phone: (262) 567-7377
Fax: (262) 567-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15898-130 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 178-228 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4958-125 Wisconsin

Profile Details

NPI number 1255675112
LBN Legal business name Klecker, Deborah J
Credentials LPC, MFT-IT, SAC-IT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255675112 NPPES
Wisconsin MEDICAID 1255675112

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