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Individual
MARK KLINE
Active
Individual
MARK KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA QMHSMA CMS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA170844
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
172V00000X
Community Health Worker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910844
—
OH
Enumeration date
08/22/2016
Last updated
02/24/2025
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