Organization
1 IDENTITY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENELLE LINDEN LMHC, LPC, LCPC (MEMBER OWNER)
(812) 902-8007
Entity
Organization
Contact information
Practice address
1501 J ST, BEDFORD, IN 47421-3847
(812) 902-8007
Mailing address
1501 J ST, BEDFORD, IN 47421-3847
(812) 902-8007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002692A
IN
Other
Enumeration date
12/13/2017
Last updated
04/16/2021
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