Doctor Name: | LOIS KLINE |
NPI Number: | 1013106087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC665 |
Business Practice Address: | 1277 N 15th St Laramie, WY - 820722343 |
Business Phone Number: | 3077422181 |
Business Fax Number: | |
Mailing Address: | 1277 N 15th St, LARAMIE |
State: | WY |
Postal Code: | 820722343 |
Phone Number: | 3077422181 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |