Provider Demographics
NPI:1962629717
Name:LINDSEY, JON LAWSON (MA, PCC, NCP)
Entity Type:Individual
Prefix:MR
First Name:JON
Middle Name:LAWSON
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:MA, PCC, NCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 22ND ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2003
Mailing Address - Country:US
Mailing Address - Phone:330-455-5082
Mailing Address - Fax:330-455-5082
Practice Address - Street 1:4829 MUNSON ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-3614
Practice Address - Country:US
Practice Address - Phone:330-244-9499
Practice Address - Fax:330-244-9499
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 0002944101YM0800X
OHE. 0002944 SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional