Provider Demographics
NPI:1225180714
Name:KLAR, AGNES M (LMFT, LPC, RPT-S)
Entity Type:Individual
Prefix:MS
First Name:AGNES
Middle Name:M
Last Name:KLAR
Suffix:
Gender:F
Credentials:LMFT, LPC, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 TAMMY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3812
Mailing Address - Country:US
Mailing Address - Phone:210-789-1843
Mailing Address - Fax:210-525-1843
Practice Address - Street 1:211 TAMMY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3812
Practice Address - Country:US
Practice Address - Phone:210-789-1843
Practice Address - Fax:210-525-1843
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2264106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist