Provider Demographics
NPI:1164066254
Name:DINSDALE, JONAH ALLEN (LPCC)
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:ALLEN
Last Name:DINSDALE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-3849
Mailing Address - Country:US
Mailing Address - Phone:575-288-0013
Mailing Address - Fax:
Practice Address - Street 1:2315 UNION AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-3849
Practice Address - Country:US
Practice Address - Phone:575-288-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCBT-2025-0465101YP2500X
NMCTB-2023-0349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional