Provider Demographics
NPI:1689706962
Name:LINDBERG, FRANCINE (MA LPCC)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:
Last Name:LINDBERG
Suffix:
Gender:F
Credentials:MA LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:EL PRADO
Mailing Address - State:NM
Mailing Address - Zip Code:87529-0372
Mailing Address - Country:US
Mailing Address - Phone:505-776-8885
Mailing Address - Fax:
Practice Address - Street 1:491 HONDO-SECO RD.
Practice Address - Street 2:
Practice Address - City:ARROYO SECO
Practice Address - State:NM
Practice Address - Zip Code:87514
Practice Address - Country:US
Practice Address - Phone:575-776-8885
Practice Address - Fax:575-751-4586
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0140201101YM0800X
NM66092101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM66092OtherPROFESSIONAL ART THERAPIS