Provider Demographics
NPI:1386413169
Name:CLINE COUNSELING
Entity type:Organization
Organization Name:CLINE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMHC
Authorized Official - Phone:425-753-3359
Mailing Address - Street 1:23815 99TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-7047
Mailing Address - Country:US
Mailing Address - Phone:425-753-3359
Mailing Address - Fax:
Practice Address - Street 1:17331 VASHON HWY SW STE F
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-5012
Practice Address - Country:US
Practice Address - Phone:425-753-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty