Organization
MARY M CLINE, LLC
Active
Other names
Mary M Cline
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M CLINE MA, LPCC (OWNER, AUTHORIZED AGENT)
(505) 697-1717
Entity
Organization
Contact information
Practice address
33 VISTA DE ORO, PLACITAS, NM 87043-9227
(505) 697-1717
Mailing address
33 VISTA DE ORO, PLACITAS, NM 87043-9227
(505) 697-1717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17507898
—
NM
Enumeration date
04/15/2017
Last updated
06/18/2024
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