| Doctor Name: | MRS. LINDA LIBBY |
| NPI Number: | 1093800765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 37LC00123000 |
| Business Practice Address: | 385 Terhune Ave Passaic, NJ - 070552448 |
| Business Phone Number: | 9737777915 |
| Business Fax Number: | 9737772226 |
| Mailing Address: | 385 Terhune Ave, PASSAIC |
| State: | NJ |
| Postal Code: | 070552448 |
| Phone Number: | 9737777915 |
| Fax Number: | 9737772226 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 04/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00123000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |