Provider Demographics
NPI:1184221988
Name:KLING, RONALD WAYNE (MED, PCLC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:WAYNE
Last Name:KLING
Suffix:
Gender:M
Credentials:MED, PCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 26TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-8609
Mailing Address - Country:US
Mailing Address - Phone:406-403-1410
Mailing Address - Fax:
Practice Address - Street 1:1190 26TH AVE W
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-8609
Practice Address - Country:US
Practice Address - Phone:406-403-1410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT32396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health