Individual
AMIE NICHOLE KLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8101
Mailing address
641 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TBA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBA
HIGH SCHOOL DIPLOMA
MI
Enumeration date
10/12/2018
Last updated
10/12/2018
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