RICHARD WALLACE KLOMP


Address: 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097-8178
Phone: 4045184325

RICHARD WALLACE KLOMP (NPI# 1972121929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972121929
Entity Type Individual
Full Name RICHARD WALLACE KLOMP
Credential LPC
Practice Address 1810 Peachtree Industrial Blvd Ste 231
Duluth
GA 30097-8178
Mailing Address 3275 Oak Hampton Way
Duluth
GA 30096-5882
Practice Telephone 4045184325
Mailing Telephone 4045184325
Enumeration Date 2020-07-07
Last Update Date 2020-07-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPC003903 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1810 PEACHTREE INDUSTRIAL BLVD STE 231
City DULUTH
State GA
Zip Code 30097-8178

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659986057 Herman Medical Solutions, LLC Internal Medicine 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 2020-09-11
1649808619 Kirsty Amber Ramirez Behavior Technician 218 Premiere Pkwy #500, Duluth, GA 30097 2020-03-27
1386277820 Cristina Madalina Niculas Pharmacist Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 2020-02-12
1619514924 Opesdei Health Solutions Home Health Aide 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 2019-12-05
1700422979 Ria Alexander Nurse Practitioner 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 2019-11-22
1043867765 Mosesal Zakia White Nurse Practitioner 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 2019-08-19
1982187068 Lighthouse Clinical Counseling, LLC Counselor 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 2018-09-13
1376025643 Faithe Beanne Kimsey Counselor 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 2018-09-04
1306330303 Denise Jackson Prosthetist 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 2018-06-21
1407363328 Berkeley Van Dyke Physical Therapist 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 2017-12-30
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942862883 Sabrina Tollefson Counselor 230 E Superior St Ste 202, Duluth, MN 55802-2185 2019-07-01
1265993927 Bertrina Olivia West Counselor 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097-4446 2019-03-26
1740744853 Eve-lynn R Fellersen Counselor 104 W Superior St Ste 200, Duluth, MN 55802-3000 2019-01-23
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1669966024 Adeola Adefowoju Counselor 6115 Abbotts Bridge Rd Apt 403, Duluth, GA 30097-5753 2018-06-19
1528589843 Breanna Joy Greenly Counselor 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 2017-06-28
1730635392 Karina Krosbakken Counselor 332 W. Superior St., Suite 300, Duluth, MN 55802 2016-09-01
1508319260 Kristine Kuns Counselor 715 E Central Entrance, Duluth, MN 55811-5596 2016-07-29
1972056950 Lakeesha Harper Counselor 420 Autumn Village Ct, Duluth, GA 30096-7583 2016-07-26
1962866814 Tamela Renee Mcdonald Counselor 3235 Satellite Blvd Ste 400, Suite #300, Duluth, GA 30096-8688 2016-04-07
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Competitor

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City DULUTH
Zip Code 30097

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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