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NPI Code Detail

MEDICARE: KLINE AND ASSOCIATES

MEDICARE: KLINE AND ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE08331OH

General Provider Information

NPI Number : 1598925547
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLINE AND ASSOCIATES
Provider Business Mailing Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number :
Provider Business Practice Location Address
First Line : 1411 N FAIRFIELD RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2658
Country : US
Telephone Number : 937-426-2686
Fax Number :
Authorized Official
Title or Position : CLINICAL COUNSELOR
Name : PAT KANIUGA
Credential : LPCC
Telephone Number : 937-426-2686
Provider Enumeration Date : 06/12/2008
Last Update Date : 06/12/2008

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Directions to “KLINE AND ASSOCIATES ” Practice Location

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