Provider Demographics
NPI:1316717473
Name:KLINE, KELSEY (LPC, NCC, MS, BA)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:KLINE
Suffix:
Gender:F
Credentials:LPC, NCC, MS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RICHLAND LN APT T8
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2448
Mailing Address - Country:US
Mailing Address - Phone:717-645-8337
Mailing Address - Fax:
Practice Address - Street 1:5006 E TRINDLE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3647
Practice Address - Country:US
Practice Address - Phone:717-645-8337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016638101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional