MEDICARE: CHRISTINE ROBIN CLEMENT LCMHC

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	101YP2500X	Professional Counselor	19813	NC

General Provider Information

NPI Number	:	1578702452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ROBIN CLEMENT LCMHC

Provider Business Mailing Address
First Line	:	30 HENDERSONVILLE RD # 12
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-2396
Country	:	US
Telephone Number	:	828-998-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 1/2 EAGLE ST STE K
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-3795
Country	:	US
Telephone Number	:	828-998-1555
Fax Number	:

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

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	09/19/2024

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