Mary Kline
Counselor, Mental Health in Medford, OR. Individual provider (NPI-1).
NPI number1154615474
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1154615474
- Entity type
- Individual (NPI-1)
- Name
- Mary Kline
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2011
- Last updated
- Nov 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170 · Fax 541-858-8167
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170
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