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NPI 1205599792

NPI 1205599792 : ALEXANDER THOMAS LINDERMAN LCPC, NCC : NORTH LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1205599792
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDER THOMAS LINDERMAN LCPC, NCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/21/2021
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    4325 W ROME BLVD APT 2017
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    City                 |    NORTH LAS VEGAS
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    State                |    NV
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    Zip                  |    89084
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    Country              |    US
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    Telephone            |    702-659-4825
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4325 W ROME BLVD APT 2017 
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    City                 |    NORTH LAS VEGAS
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    State                |    NV
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    Zip                  |    89084-5413
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    Country              |    US
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    Telephone            |    702-747-0404
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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       |    CP5913
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    License Number State |    NV
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