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General NPI Number Information
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NPI Number | 1073617668
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Entity Type | Individual
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Provider Name | KRISTI HERNDON LINDLEY LPC, NBCC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 1117 TRICE ST
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City | SHANNON
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State | MS
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Zip | 38868-9333
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Country | US
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Telephone | 662-231-3532
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Fax | 662-231-3532
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Provider Business Mailing Address
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Address Line | 1117 TRICE ST
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City | SHANNON
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State | MS
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Zip | 38868-9333
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Country | US
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Telephone | 662-312-3532
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0793
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License Number State | MS
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