MEDICARE: LINDSEY K ENSMINGER M.ED., NCC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC005876	PA

General Provider Information

NPI Number	:	1053694018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY K ENSMINGER M.ED., NCC, LPC

Provider Business Mailing Address
First Line	:	310 LORTZ AVE
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-3416
Country	:	US
Telephone Number	:	717-263-7160
Fax Number	:	717-263-6049

Provider Business Practice Location Address
First Line	:	426 PHOENIX DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-4537
Country	:	US
Telephone Number	:	717-261-9833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	09/26/2011

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