Provider Demographics
NPI:1114765211
Name:KLEPPIN, ALISON ROSE (LPCC)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:ROSE
Last Name:KLEPPIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 MARSHALL AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-5911
Mailing Address - Country:US
Mailing Address - Phone:608-577-2153
Mailing Address - Fax:
Practice Address - Street 1:1880 MARSHALL AVE APT 208
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-5911
Practice Address - Country:US
Practice Address - Phone:608-577-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health