Doctor Name: | JOHN R LINDT |
NPI Number: | 1669555371 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, MDIV, LMFT |
License Number: | 628 124 |
Business Practice Address: | 2012 10th St Menominee, MI - 498582194 |
Business Phone Number: | 9068635646 |
Business Fax Number: | 9068631078 |
Mailing Address: | 2012 10th St, MENOMINEE |
State: | MI |
Postal Code: | 498582194 |
Phone Number: | 9068635646 |
Fax Number: | 9068631078 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 628 124 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |