Individual
MR. STUART H CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LADAC, LPAT
Contact information
Practice address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
89221
NM
101YP2500X
Professional Counselor
5523
NM
101YP2500X
Professional Counselor
Primary
CCMH0109631
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07257279
—
NM
Enumeration date
09/13/2007
Last updated
09/02/2022
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