Individual
MR. DOUGLAS AARON KLINGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4460 CENTRAL WAY, SUITE 2, CHUBBUCK, ID 83202-5095
(208) 237-1711
Mailing address
4602 TARGHEE PL, CHUBBUCK, ID 83202-2628
(208) 681-1084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4779
ID
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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