Individual
AMY LOUISE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDPT
Contact information
Practice address
6005 TYEE DRIVE SW, TUMWATER, WA 98512
(360) 464-6873
(360) 586-9728
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6873
(360) 586-9728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60614209
WA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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