MEDICARE: ALICIA M CLINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-29481	NC

General Provider Information

NPI Number	:	1366386930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA M CLINE

Provider Business Mailing Address
First Line	:	306 N QUEEN ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-4932
Country	:	US
Telephone Number	:	252-208-0027
Fax Number	:	252-208-0029

Provider Business Practice Location Address
First Line	:	1008 E ASH ST
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-3808
Country	:	US
Telephone Number	:	252-208-0027
Fax Number	:	252-208-0029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ ALICIA M CLINE ” Practice Location

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