Individual
JENELLE LINDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPC, LCPC
Contact information
Practice address
1501 J ST, BEDFORD, IN 47421-3847
(812) 902-8007
(833) 212-9488
Mailing address
1501 J ST, BEDFORD, IN 47421-3847
(812) 902-8007
(833) 212-9488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.009603
IL
101YM0800X
Mental Health Counselor
Primary
39002692A
IN
101YM0800X
Mental Health Counselor
6401017440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013338
—
IN
Enumeration date
02/27/2013
Last updated
04/16/2021
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