Individual
JENNELLE DAWN HINDASH
Active
Individual
JENNELLE DAWN HINDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C-06649
NM
104100000X
Social Worker
M-05761
NM
1041C0700X
Clinical Social Worker
Primary
C-06649
NM
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17831237
—
NM
05
—
41676238
—
NM
Enumeration date
03/01/2007
Last updated
01/18/2024
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