Doctor Name: | MRS. TINA MARIE LINARES |
NPI Number: | 1003056235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | LH60148459 |
Business Practice Address: | 3010 Comanche Dr Mount Vernon, WA - 982733754 |
Business Phone Number: | 3604202093 |
Business Fax Number: | |
Mailing Address: | P.o.box 681, MOUNT VERNON |
State: | WA |
Postal Code: | 982730681 |
Phone Number: | 3604202093 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60148459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |