Individual
DOUGLAS JOHN LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LPCC
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1396
Mailing address
PO BOX 1349, SILVER CITY, NM 87305-1337
(505) 388-4497
(575) 534-1150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2835
NM
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
M-1108
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15927334
—
NM
05
—
42276870
—
NM
Enumeration date
06/22/2006
Last updated
01/13/2010
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