Individual
LINDA JEAN HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
839 MAIN ST STE 551, LAFAYETTE, IN 47901-2830
(765) 427-8019
(765) 347-2752
Mailing address
10918 S SPRINGBORO RD, BROOKSTON, IN 47923-8277
(765) 427-8019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34005778A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12024387
CAQH
IN
01
—
M300048347
MEDICARE UPIN
IN
Enumeration date
02/09/2007
Last updated
01/14/2022
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