Provider Demographics
NPI:1629168752
Name:KLOPSTOCK, ALEJANDRA NARINO (MS, CRC, LPC)
Entity Type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:NARINO
Last Name:KLOPSTOCK
Suffix:
Gender:F
Credentials:MS, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 WINDY HILL ROAD
Mailing Address - Street 2:SUITE 319-B
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067
Mailing Address - Country:US
Mailing Address - Phone:770-933-5367
Mailing Address - Fax:404-812-1793
Practice Address - Street 1:2470 WINDY HILL RD SE
Practice Address - Street 2:SUITE 319-B
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8613
Practice Address - Country:US
Practice Address - Phone:770-933-5367
Practice Address - Fax:404-812-1793
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional