Individual provider · Type 1 NPI
Jaqueline Nicole Klingenberg, CDC I
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1578048716
Active
Practice location
6244 El Cajon Blvd Ste 17
San Diego, CA 92115-3918
Fax (619) 287-4146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3891 (AK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1578048716
Jaqueline Nicole Klingenberg, CDC I's National Provider Identifier is 1578048716, issued on Oct 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Oct 2, 2018.