Doctor Name: | LINDA J. GREEN-BASKETT |
NPI Number: | 1639422553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C |
License Number: | LH00006181 |
Business Practice Address: | 5242 S 4820 W Kearns, UT - 841186422 |
Business Phone Number: | 8019664251 |
Business Fax Number: | 8019664289 |
Mailing Address: | 5242 S 4820 W, KEARNS |
State: | UT |
Postal Code: | 841186422 |
Phone Number: | 8019664251 |
Fax Number: | 8019664289 |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00006181 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |