Linden, Jenelle

Linden, Jenelle is an sole proprietor health care provider with primary practice located at 1501 J St , Bedford IN 47421-3847. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Linden, Jenelle can be contacted via phone (812) 902-8007.

Contact Information

Primary practice address
1501 J St Bedford IN 47421-3847
Phone: (812) 902-8007
Fax: (833) 212-9488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.009603 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401017440 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002692A Indiana

Profile Details

NPI number 1073853024
LBN Legal business name Linden, Jenelle
Credentials MA, LMHC, LPC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2013
Last updated Apr 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073853024 NPPES
Indiana MEDICAID 300013338

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