Provider Demographics
NPI:1043495914
Name:LINGER, JENNIFER BRINDLE (LMHC, CAP, BCPCC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BRINDLE
Last Name:LINGER
Suffix:
Gender:F
Credentials:LMHC, CAP, BCPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N WICKHAM RD STE 10
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2369
Mailing Address - Country:US
Mailing Address - Phone:321-698-7141
Mailing Address - Fax:321-751-7055
Practice Address - Street 1:3040 N WICKHAM RD STE 10
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2369
Practice Address - Country:US
Practice Address - Phone:321-698-7141
Practice Address - Fax:321-751-7055
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health