MEDICARE: ELIZABETH KLINGER LPCC

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
1	101YP2500X	Professional Counselor	9307	CA

General Provider Information

NPI Number	:	1841703279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KLINGER LPCC

Provider Business Mailing Address
First Line	:	100 TAMAL PLZ STE 200
Second Line	:
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1063
Country	:	US
Telephone Number	:	914-806-4377
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TAMAL PLZ STE 200
Second Line	:
City	:	CORTE MADERA
State	:	CA
Zip	:	94925-1063
Country	:	US
Telephone Number	:	914-806-4377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	12/04/2025

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