Individual
REBECCA LENAE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MACY DR, ROSWELL, GA 30076-6329
(678) 534-3824
Mailing address
691 14TH ST NW UNIT 734, ATLANTA, GA 30318-5624
(269) 816-4970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010224
GA
101YM0800X
Mental Health Counselor
6401016465
MI
Other
Enumeration date
02/05/2018
Last updated
02/27/2020
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