Provider Demographics
NPI:1396918041
Name:KLEIN, ALETA J (MA MFT)
Entity type:Individual
Prefix:
First Name:ALETA
Middle Name:J
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W SIERRA MADRE BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-3017
Mailing Address - Country:US
Mailing Address - Phone:626-795-2905
Mailing Address - Fax:626-836-0682
Practice Address - Street 1:55 W SIERRA MADRE BLVD STE 301
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-3017
Practice Address - Country:US
Practice Address - Phone:626-795-2905
Practice Address - Fax:626-836-0682
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 25616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist