Healthcare Provider Details

I. General information

NPI: 1003243999
Provider Name (Legal Business Name): MR. HAROLD LINDNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2013
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 M ST
FRESNO CA
93721-1808
US

IV. Provider business mailing address

4991 E MCKINLEY AVE STE 112
FRESNO CA
93727-1966
US

V. Phone/Fax

Practice location:
  • Phone: 559-264-2700
  • Fax: 559-264-2767
Mailing address:
  • Phone: 559-981-2143
  • Fax: 559-981-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCICA02211119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: