MEDICARE: ALLISON KLASNA LPC-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	R1317750818	CA
3	101YP2500X	Professional Counselor	LPC-C12191	OK

General Provider Information

NPI Number	:	1285112987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON KLASNA LPC-C

Provider Business Mailing Address
First Line	:	3100 MEDICAL PKWY
Second Line	:
City	:	CLAREMORE
State	:	OK
Zip	:	74017-1088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 MEDICAL PKWY
Second Line	:
City	:	CLAREMORE
State	:	OK
Zip	:	74017-1088
Country	:	US
Telephone Number	:	844-458-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	03/16/2026

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Directions to “ ALLISON KLASNA LPC-C” Practice Location

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