Provider Demographics
NPI:1447699798
Name:GINDLESPERGER, JENA R (LPC)
Entity type:Individual
Prefix:
First Name:JENA
Middle Name:R
Last Name:GINDLESPERGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1906
Mailing Address - Country:US
Mailing Address - Phone:814-525-5276
Mailing Address - Fax:814-942-9725
Practice Address - Street 1:400 LAKEMONT PARK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5967
Practice Address - Country:US
Practice Address - Phone:814-946-0261
Practice Address - Fax:814-569-1189
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor