Provider Demographics
NPI:1013683150
Name:KLINE, KAREN (MA, LPC - ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KLINE
Suffix:
Gender:F
Credentials:MA, LPC - ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 CLAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3424
Mailing Address - Country:US
Mailing Address - Phone:512-656-8063
Mailing Address - Fax:
Practice Address - Street 1:4131 SPICEWOOD SPRINGS RD STE G1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8659
Practice Address - Country:US
Practice Address - Phone:512-777-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1138704101YP2500X
TX82441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82441OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
1138704OtherNATIONAL BOARD OF CERTIFIED COUNSELORS, INC.