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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3891 (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.