Individual
DR. GABRIEL A CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1358 E KINGSLEY ST, STE E, SPRINGFIELD, MO 65804-7245
(417) 414-0333
(417) 268-9114
Mailing address
1358 E KINGSLEY ST, STE E, SPRINGFIELD, MO 65804-7245
(417) 414-0333
(417) 268-9114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2001031941
MO
103T00000X
Psychologist
Primary
2010006114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558555045
—
MO
Enumeration date
08/28/2007
Last updated
01/04/2022
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