Doctor Name: | MICHELLE CHRISTINE KLINE |
NPI Number: | 1871932137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC, NCC |
License Number: | 6401013597 |
Business Practice Address: | 606 Lake St Roscommon, MI - 486537615 |
Business Phone Number: | 2319478110 |
Business Fax Number: | 2319473522 |
Mailing Address: | 1000 Hastings St, TRAVERSE CITY |
State: | MI |
Postal Code: | 496863445 |
Phone Number: | 2319478110 |
Fax Number: | 2319473522 |
NPI Enumeration Date: | 06/20/2013 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |