MEDICARE: MS. ALEJANDRA NARINO KLOPSTOCK MS, CRC, LPC

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	101YP2500X	Professional Counselor	003472	GA

General Provider Information

NPI Number	:	1629168752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEJANDRA NARINO KLOPSTOCK MS, CRC, LPC

Provider Business Mailing Address
First Line	:	2470 WINDY HILL ROAD
Second Line	:	SUITE 319-B
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	770-933-5367
Fax Number	:	404-812-1793

Provider Business Practice Location Address
First Line	:	2470 WINDY HILL RD SE
Second Line	:	SUITE 319-B
City	:	MARIETTA
State	:	GA
Zip	:	30067-8613
Country	:	US
Telephone Number	:	770-933-5367
Fax Number	:	404-812-1793

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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