Individual
JODI LEIGH CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
200 RIVER RD, LIGONIER, IN 46767-9537
(260) 894-4035
Mailing address
200 RIVER RD, LIGONIER, IN 46767-9537
(260) 894-4035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
IN
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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