Doctor Name: | MRS. JENNIFER SMITH LINDLER |
NPI Number: | 1922326511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4005 |
Business Practice Address: | 103 Little Mountain Rd Ninety Six, SC - 296669252 |
Business Phone Number: | 8642235111 |
Business Fax Number: | 8642239245 |
Mailing Address: | 103 Little Mountain Rd, NINETY SIX |
State: | SC |
Postal Code: | 296669252 |
Phone Number: | 8642235111 |
Fax Number: | 8642239245 |
NPI Enumeration Date: | 05/07/2010 |
NPI Last Update Date: | 05/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |