Individual
MISS GERALDINE MARIE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7711 MADONNA, SAN ANTONIO, TX 78216-6620
(210) 377-1133
(210) 377-1230
Mailing address
7711 MADONNA, SAN ANTONIO, TX 78216-6620
(210) 377-1133
(210) 377-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148203601
—
TX
01
—
84445L
KLINE BCBS
TX
Enumeration date
04/02/2007
Last updated
08/15/2012
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