Provider Demographics
NPI:1922326511
Name:LINDLER, JENNIFER SMITH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SMITH
Last Name:LINDLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:ELAINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 LITTLE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NINETY SIX
Mailing Address - State:SC
Mailing Address - Zip Code:29666-9252
Mailing Address - Country:US
Mailing Address - Phone:864-223-5111
Mailing Address - Fax:864-223-9245
Practice Address - Street 1:103 LITTLE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:NINETY SIX
Practice Address - State:SC
Practice Address - Zip Code:29666-9252
Practice Address - Country:US
Practice Address - Phone:864-223-5111
Practice Address - Fax:864-223-9245
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4005101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional