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General NPI Number Information
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NPI Number | 1215661053
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Entity Type | Individual
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Provider Name | ASHLEY LINDSTROM LPC-A
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Gender | Female
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 508 DEEP EDDY AVE
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City | AUSTIN
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State | TX
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Zip | 78703-4555
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Country | US
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Telephone | 972-348-0138
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Fax |
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Provider Business Mailing Address
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Address Line | 8615 TIMBER ASH ST
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City | SAN ANTONIO
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State | TX
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Zip | 78250-4326
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Country | US
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Telephone | 210-573-5388
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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