Provider Demographics
NPI:1124640206
Name:CLINE, KENDALL SHEA (MA, NCC, LMHC)
Entity type:Individual
Prefix:MS
First Name:KENDALL
Middle Name:SHEA
Last Name:CLINE
Suffix:
Gender:F
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2251
Mailing Address - Country:US
Mailing Address - Phone:360-223-0839
Mailing Address - Fax:
Practice Address - Street 1:2923 VICTOR ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2251
Practice Address - Country:US
Practice Address - Phone:360-223-0839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHC.LH.61163635101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health