NATHALIE M CLYNE Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000137

License Status

INACTIVE

Business

First Name

NATHALIE M

Last Name

CLYNE

Business Name

NATHALIE M CLYNE

Original Issue Date

04/01/1995

Effective Date

02/16/2011

Expiration Date

03/31/2013

City

KINGMAN

State

Zip

86402

Ever Disciplined

LastModifiedDate

11/02/2012

Case Number

2012007080

Action

Revocation

Discipline Start Date

10/23/2012

Discipline Reason

due to a self-report of a sister-state revocation in Arizona due to a dual relationship with an inmate client.