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NPI Code Detail

MEDICARE: KATHLEEN M KLEIN LPC

MEDICARE: KATHLEEN M 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 CounselorC.2203926OH

General Provider Information

NPI Number : 1659023505
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN M KLEIN LPC
Provider Business Mailing Address
First Line : 1720 PARKWAY DR S
Second Line :
City : MAUMEE
State : OH
Zip : 43537-2619
Country : US
Telephone Number : 418-654-6987
Fax Number :
Provider Business Practice Location Address
First Line : 1070 COMMERCE DR STE 101
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-5231
Country : US
Telephone Number : 419-482-8382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 01/21/2022

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Directions to “ KATHLEEN M KLEIN LPC” Practice Location

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