Provider Demographics
NPI:1114806361
Name:KLEIN, ALICIA (CADC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:IA
Mailing Address - Zip Code:50047-7797
Mailing Address - Country:US
Mailing Address - Phone:515-554-9665
Mailing Address - Fax:
Practice Address - Street 1:501 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE CITY
Practice Address - State:IA
Practice Address - Zip Code:50228-8666
Practice Address - Country:US
Practice Address - Phone:515-994-3562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24047101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)