Doctor Name: | MS. JAN LINDHOLM |
NPI Number: | 1336155324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CDP, LRCP |
License Number: | LH00004558 |
Business Practice Address: | 400 E Pioneer Suite 200 Puyallup, WA - 983723255 |
Business Phone Number: | 2532797509 |
Business Fax Number: | 2538485700 |
Mailing Address: | Po Box 1053, GIG HARBOR |
State: | WA |
Postal Code: | 983353053 |
Phone Number: | 2538537971 |
Fax Number: | 2538485700 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH00004558 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |