Provider Demographics
NPI:1275646184
Name:WEBER, LINDA (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:LIN
Other - Middle Name:
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:1611 DORIS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1700
Mailing Address - Country:US
Mailing Address - Phone:707-963-7657
Mailing Address - Fax:707-963-8529
Practice Address - Street 1:68 COOMBS ST
Practice Address - Street 2:SUITE A-6
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3901
Practice Address - Country:US
Practice Address - Phone:707-224-8661
Practice Address - Fax:707-224-8529
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT21970106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist