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NPI Code Detail

MEDICARE: KRISTEN LEIGH CLINE MFTI

MEDICARE: KRISTEN LEIGH CLINE MFTI
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
1106H00000XMarriage & Family Therapist53122CA

General Provider Information

NPI Number : 1316079353
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN LEIGH CLINE MFTI
Provider Business Mailing Address
First Line : 137 N COTTONWOOD ST STE 1520
Second Line :
City : WOODLAND
State : CA
Zip : 95695-6664
Country : US
Telephone Number : 530-666-8630
Fax Number :
Provider Business Practice Location Address
First Line : 137 N COTTONWOOD ST STE 1520
Second Line :
City : WOODLAND
State : CA
Zip : 95695-6664
Country : US
Telephone Number : 530-666-8630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 04/08/2013

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Directions to “ KRISTEN LEIGH CLINE MFTI” Practice Location

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