Doctor Name: | MR. CHARLES ROD LIND |
NPI Number: | 1780775916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NCC, LPC |
License Number: | 12480 |
Business Practice Address: | 6090 Surety Dr Suite 103 El Paso, TX - 799052061 |
Business Phone Number: | 9154741222 |
Business Fax Number: | 9157781770 |
Mailing Address: | 6090 Surety Dr, Suite 103 EL PASO |
State: | TX |
Postal Code: | 799052061 |
Phone Number: | 9154741222 |
Fax Number: | 9157781770 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 02/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 12480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |