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NPI Code Detail

MEDICARE: DUSTIN JINDRA

MEDICARE:   DUSTIN  JINDRA
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 Counselor61043137WA

General Provider Information

NPI Number : 1972085736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN JINDRA
Provider Business Mailing Address
First Line : 402 E YAKIMA AVE STE 447E
Second Line :
City : YAKIMA
State : WA
Zip : 98901-5407
Country : US
Telephone Number : 509-885-7374
Fax Number :
Provider Business Practice Location Address
First Line : 402 E YAKIMA AVE STE 447E
Second Line :
City : YAKIMA
State : WA
Zip : 98901-5407
Country : US
Telephone Number : 509-885-7374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 02/21/2024

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Directions to “ DUSTIN JINDRA ” Practice Location

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