Individual
ALICE JORDAN LINDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
107 N SUMMEY ST, DALLAS, NC 28034-1824
(704) 865-3525
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16168
NC
101YM0800X
Mental Health Counselor
LINFO-0LWYS9
NC
Other
Enumeration date
10/19/2020
Last updated
11/25/2020
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