Healthcare Provider Details

I. General information

NPI: 1689706962
Provider Name (Legal Business Name): FRANCINE LINDBERG M.A. LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 HONDO-SECO RD.
ARROYO SECO NM
87514
US

IV. Provider business mailing address

PO BOX 372
EL PRADO NM
87529-0372
US

V. Phone/Fax

Practice location:
  • Phone: 575-776-8885
  • Fax: 575-751-4586
Mailing address:
  • Phone: 505-776-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0140201
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66092
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: