Provider Demographics
NPI:1164836284
Name:GOODE MILLER, LINDA LINNEA (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LINNEA
Last Name:GOODE MILLER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1119
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-1119
Mailing Address - Country:US
Mailing Address - Phone:360-336-0467
Mailing Address - Fax:
Practice Address - Street 1:3710 S STAR VIEW LOOP
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-7662
Practice Address - Country:US
Practice Address - Phone:360-336-0467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health