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NPI Code Detail

MEDICARE: JEFFREY WILLIAM KLEIN LPC

MEDICARE:   JEFFREY WILLIAM KLEIN  LPC
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 Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568411783
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY WILLIAM KLEIN LPC
Provider Business Mailing Address
First Line : PO BOX 2926
Second Line :
City : GEORGETOWN
State : TX
Zip : 78627-2926
Country : US
Telephone Number : 512-864-5875
Fax Number : 512-451-8729
Provider Business Practice Location Address
First Line : 3008 DAWN DR STE 101
Second Line :
City : GEORGETOWN
State : TX
Zip : 78628-2822
Country : US
Telephone Number : 512-451-7337
Fax Number : 512-451-8729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 06/15/2022

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Directions to “ JEFFREY WILLIAM KLEIN LPC” Practice Location

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