Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | LPP #49 | NH |
NPI | 1255372405 |
---|---|
Provider Name | Mr. Charles Edward Lindner |
First Address | Lebanon, NH 03766-1378 |
Second Address | Lebanon, NH 03766-1378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |