Individual
LESLEY DIANE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 OLD ELKINS RD, BUCKHANNON, WV 26201
(304) 890-2509
Mailing address
370 ROHR AVE, BUCKHANNON, WV 26201-2080
(304) 890-2509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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