Provider Demographics
NPI:1134686587
Name:SHOOK, LINDA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:SHOOK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 N DIVISION ST STE 109
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2346
Mailing Address - Country:US
Mailing Address - Phone:509-467-1156
Mailing Address - Fax:509-468-0462
Practice Address - Street 1:10103 N DIVISION ST STE 109
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2346
Practice Address - Country:US
Practice Address - Phone:509-467-1156
Practice Address - Fax:509-468-0462
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60634659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty