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NPI Code Detail

MEDICARE: DILLON W KLINE ASW

MEDICARE: DILLON W KLINE ASW
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
1101YM0800XMental Health Counselor33157CA
2101YM0800XMental Health Counselor114762CA
31041C0700XClinical Social Worker114762CA

General Provider Information

NPI Number : 1588003933
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILLON W KLINE ASW
Provider Business Mailing Address
First Line : 1660 HOTEL CIR N STE 314
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-961-2120
Fax Number :
Provider Business Practice Location Address
First Line : 1660 HOTEL CIR N STE 314
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-961-2120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 07/18/2024

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Directions to “ DILLON W KLINE ASW” Practice Location

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