Klecker, Thomas Edward

Klecker, Thomas Edward is an individual health care provider with primary practice located at 1906 5Th Ave Se , Little Falls MN 56345-0367. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Klecker, Thomas Edward can be contacted via phone (320) 632-6647.

Contact Information

Primary practice address
1906 5Th Ave Se Little Falls MN 56345-0367
Fax: (320) 632-9525
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1802 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X LICSW2045 Minnesota

Profile Details

NPI number 1497936926
LBN Legal business name Klecker, Thomas Edward
Credentials LICSW LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 18 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 1497936926 NPPES
Minnesota Other 6268607 MEDICA
Minnesota Other 69658KL MEDICA

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