Individual
KELLIE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 861, MANCOS, CO 81328-0861
(520) 730-7302
Mailing address
PO BOX 861, MANCOS, CO 81328-0861
(520) 730-7302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0021172
CO
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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