| Doctor Name: | LINDA J MILLS KREBSBACH |
| NPI Number: | 1013130509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW APSW |
| License Number: | 11057 |
| Business Practice Address: | 100 Polk County Plz Suite 50 Balsam Lake, WI - 548109071 |
| Business Phone Number: | 7154858446 |
| Business Fax Number: | 7154858490 |
| Mailing Address: | 12050 Square Lake Trail Ct N, STILLWATER |
| State: | MN |
| Postal Code: | 550829268 |
| Phone Number: | 6514396695 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 11057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |