Provider Demographics
NPI:1508745332
Name:KLINE, PAIGE NICOLE (PPSC)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:NICOLE
Last Name:KLINE
Suffix:
Gender:F
Credentials:PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14630 ARMSTRONG WOODS RD
Mailing Address - Street 2:
Mailing Address - City:GUERNEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95446-9576
Mailing Address - Country:US
Mailing Address - Phone:707-869-2864
Mailing Address - Fax:
Practice Address - Street 1:14630 ARMSTRONG WOODS RD
Practice Address - Street 2:
Practice Address - City:GUERNEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95446-9576
Practice Address - Country:US
Practice Address - Phone:707-869-2864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240304536101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool