Healthcare Provider Details

I. General information

NPI: 1639322985
Provider Name (Legal Business Name): MARIA CLAIRE VAHLE-KLEIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 GRANT RD STE F
LOS ALTOS CA
94024-6958
US

IV. Provider business mailing address

2251 GRANT RD STE F
LOS ALTOS CA
94024-6958
US

V. Phone/Fax

Practice location:
  • Phone: 650-988-9400
  • Fax:
Mailing address:
  • Phone: 650-988-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC25617
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: