Healthcare Provider Details

I. General information

NPI: 1124257027
Provider Name (Legal Business Name): KIM F KLAUS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305A GINGER DR
MOUNT LAUREL NJ
08054-4908
US

IV. Provider business mailing address

1305A GINGER DR
MOUNT LAUREL NJ
08054-4908
US

V. Phone/Fax

Practice location:
  • Phone: 609-226-9887
  • Fax:
Mailing address:
  • Phone: 609-226-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00386900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: