Doctor Name: | JOANNA LINN |
NPI Number: | 1518160019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LCAS |
License Number: | 6625 |
Business Practice Address: | 320 E Lee Ave Yadkinville, NC - 270558132 |
Business Phone Number: | 3366798805 |
Business Fax Number: | 3366793057 |
Mailing Address: | 156 Fox Run Dr, MOCKSVILLE |
State: | NC |
Postal Code: | 270289501 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2007 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |