Provider Demographics
NPI:1891153540
Name:JINDRA, KRISTEN LYNN (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:LYNN
Last Name:JINDRA
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:PERCHINSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24600 DETROIT RD STE 240
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2542
Mailing Address - Country:US
Mailing Address - Phone:440-249-7990
Mailing Address - Fax:
Practice Address - Street 1:20220 CENTER RIDGE RD STE 355
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3596
Practice Address - Country:US
Practice Address - Phone:440-249-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1800980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional