Organization
PAM CLINE MSW-LCSW SUPPORTIVE COUNSELING CENTER
Active
Parent organization
YES SOLE PROPRITERSHIP
Other names
Pam Cline LCSW Supportive Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES SOLE PROPRITERSHIP
Authorized official
MS. PAMELA ELLEN CLINE MSW LCSW (MENTAL HEALTH COUNSELOR)
(541) 728-8297
Entity
Organization
Contact information
Practice address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
Mailing address
28 NE 12TH ST, MADRAS, OR 97741-1827
(541) 475-6171
(541) 475-6171
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
L3005
OR
305R00000X
Preferred Provider Organization
Primary
L3005
OR
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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