Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 37LC00275400 | NJ |
Y | 101YM0800X | Mental Health Counselor | 37PC00760700 | NJ |
NPI | 1003480351 |
---|---|
Provider Name | Emily Lindemann |
First Address | Brick, NJ 08723-7857 |
Second Address | Brick, NJ 08723-7857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2021 |
Last Update Date | 27/05/2021 |