Doctor Name: | DONALD V CLINE |
NPI Number: | 1649208174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 00041 |
Business Practice Address: | 3702 W Truman Blvd Suite 115 Jefferson City, MO - 651094970 |
Business Phone Number: | 5736345303 |
Business Fax Number: | 5737616888 |
Mailing Address: | 206 Ridgeway Dr, JEFFERSON CITY |
State: | MO |
Postal Code: | 651090742 |
Phone Number: | 5736353144 |
Fax Number: | 5737616888 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |