MEDICARE: JONNIQUA LINDSEY

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	101YM0800X	Mental Health Counselor	TJ383178	OH

General Provider Information

NPI Number	:	1902694953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONNIQUA LINDSEY

Provider Business Mailing Address
First Line	:	3489 SENNA XANDER APT 210
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-0025
Country	:	US
Telephone Number	:	614-440-2828
Fax Number	:

Provider Business Practice Location Address
First Line	:	862 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3614
Country	:	US
Telephone Number	:	614-440-2828
Fax Number	:

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

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	09/09/2025

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Directions to “ JONNIQUA LINDSEY ” Practice Location

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