Provider Demographics
NPI:1275601858
Name:ORELL, LINDA HENRY (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HENRY
Last Name:ORELL
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GRACELAND DR SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-2778
Mailing Address - Country:US
Mailing Address - Phone:505-615-2504
Mailing Address - Fax:505-898-1801
Practice Address - Street 1:301 GRACELAND DR SE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2778
Practice Address - Country:US
Practice Address - Phone:505-615-2504
Practice Address - Fax:505-898-1801
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM1600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health