Individual
RENEE MICHELLE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 60971093
Contact information
Practice address
4928 109TH ST SW, LAKEWOOD, WA 98499-3731
(253) 473-7474
(253) 474-9724
Mailing address
222 E 65TH ST, TACOMA, WA 98404-1103
(253) 260-8604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60971093
WA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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