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General NPI Number Information
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NPI Number | 1790643161
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Entity Type | Organization
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Legal Business Name | JUDATHA KLINE COUNSELING, LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 101 E 8TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98660-3294
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Country | US
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Telephone | 564-236-6854
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Fax | 360-938-7016
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Provider Business Mailing Address
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Address Line | 101 E 8TH ST STE 110
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City | VANCOUVER
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State | WA
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Zip | 98660-3294
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Country | US
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Telephone | 564-236-6854
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Fax | 360-938-7016
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Authorized Official
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Title or Position | SINGLE MEMBER, LLC
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Name | JUDATHA TEMPLE KLINE
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Credential | PHD, MFT
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Telephone | 564-236-6854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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