Provider Demographics
NPI:1124174024
Name:KLECKER, JULIE JEANNINE (LCMHC, LPC, PC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:JEANNINE
Last Name:KLECKER
Suffix:
Gender:F
Credentials:LCMHC, LPC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 BALLS MILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-9533
Mailing Address - Country:US
Mailing Address - Phone:336-298-2944
Mailing Address - Fax:336-818-5444
Practice Address - Street 1:755 BALLS MILL RD
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-9533
Practice Address - Country:US
Practice Address - Phone:336-298-2944
Practice Address - Fax:336-818-5444
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016231101YM0800X, 101YP2500X
MI6401009820101YM0800X, 101YP2500X
NC10138101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional