Individual
SHANDER LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
211 SAMUELS DR, MADISON, MS 39110-4103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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