Provider Demographics
NPI:1063858066
Name:LINTON, CARLETO AGUSTUS (LCADC)
Entity Type:Individual
Prefix:MR
First Name:CARLETO
Middle Name:AGUSTUS
Last Name:LINTON
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 LUGUAIN CT
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3340
Mailing Address - Country:US
Mailing Address - Phone:443-379-7055
Mailing Address - Fax:443-660-8333
Practice Address - Street 1:17 WARREN RD
Practice Address - Street 2:SUITE 12-B
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5334
Practice Address - Country:US
Practice Address - Phone:443-379-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional