MRS. JACQUELINE MARIE KLIETZ LMFT NPI 1538672043

NPI Information

NPI: 1538672043
Provider Name: MRS. JACQUELINE MARIE KLIETZ, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5666 E STATE ST
ROCKFORD, IL
ZIP 61108
Phone: (815) 484-7053
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MRS. Jacqueline Marie Klietz, LMFT is a mental health counselor in Rockford, IL. MRS. Jacqueline Marie Klietz, LMFT NPI is 1538672043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5666 E STATE ST
ROCKFORD, IL
ZIP 61108-425
Phone: (815) 484-7053

The enumeration date for this NPI number is 11/7/2017 and was last updated on 10/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	166.001072	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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