| Organization Name: | PAM CLINE MSW-LCSW SUPPORTIVE COUNSELING CENTER |
| NPI Number: | 1821285230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA ELLEN CLINE (MENTAL HEALTH COUNSELOR) |
| Mailing Address: | 28 Ne 12th St Madras |
| State: | OR US |
| Postal Code: | 977411827 |
| Phone Number: | 5414756171 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2007 |
| NPI Last Update Date: | 09/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | L3005 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |