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General NPI Number Information
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NPI Number | 1740990951
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Entity Type | Organization
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Legal Business Name | A LINDLEY CLINICAL COUNSELING
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD STE 150
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City | EDINA
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State | MN
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Zip | 55424-1300
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Country | US
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Telephone | 952-852-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 9630 37TH PL N APT 202
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City | PLYMOUTH
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State | MN
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Zip | 55441-1851
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Country | US
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Telephone | 952-852-0329
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Fax |
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Authorized Official
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Title or Position | LPCC
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Name | ALICIA NORRIS LINDLEY
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Credential | MA
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Telephone | 952-852-0329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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