Doctor Name: | JODI KINDRED LPC |
NPI Number: | 1306173042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | E0001927 |
Business Practice Address: | 122 W Center St Fostoria, OH - 448302201 |
Business Phone Number: | 4194350204 |
Business Fax Number: | 4194369846 |
Mailing Address: | 1925 Hayes Ave, SANDUSKY |
State: | OH |
Postal Code: | 448704737 |
Phone Number: | 4195575179 |
Fax Number: | 4195755179 |
NPI Enumeration Date: | 11/17/2009 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E0001927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |