Provider Demographics
NPI:1750956207
Name:KLUNA, KATHERINE WARD (LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:WARD
Last Name:KLUNA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3247 SPRING CANYON RD
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-2595
Mailing Address - Country:US
Mailing Address - Phone:254-258-1120
Mailing Address - Fax:
Practice Address - Street 1:3247 SPRING CANYON RD
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-2595
Practice Address - Country:US
Practice Address - Phone:254-258-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX651651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical