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General NPI Number Information
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NPI Number | 1467841254
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Entity Type | Individual
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Provider Name | LINDSAY WALDEN MA, LPC, CST
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 10176 CORPORATE SQUARE DR SUITE 100-S
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2924
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Country | US
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Telephone | 314-485-9189
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Fax |
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Provider Business Mailing Address
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Address Line | 5446 ROSA AVE UNIT 2F
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3246
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Country | US
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Telephone | 636-375-4778
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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 | 2010009458
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License Number State | MO
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