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NPI Code Detail

MEDICARE: ALICE JORDAN LINDO LMHCA

MEDICARE: ALICE JORDAN LINDO LMHCA
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
1101YM0800XMental Health CounselorLINFO-0LWYS9NC
2101YM0800XMental Health CounselorA16168NC

General Provider Information

NPI Number : 1497354625
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE JORDAN LINDO LMHCA
Provider Business Mailing Address
First Line : PO BOX 4003
Second Line :
City : GASTONIA
State : NC
Zip : 28054-0041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 N SUMMEY ST
Second Line :
City : DALLAS
State : NC
Zip : 28034-1824
Country : US
Telephone Number : 704-865-3525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 11/25/2020

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Directions to “ ALICE JORDAN LINDO LMHCA” Practice Location

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