Provider Demographics
NPI:1275734139
Name:LOVEJOY, LINDA INEZ (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:INEZ
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:INEZ
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1622 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4020
Mailing Address - Country:US
Mailing Address - Phone:707-349-3141
Mailing Address - Fax:
Practice Address - Street 1:1622 4TH STREET
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4020
Practice Address - Country:US
Practice Address - Phone:707-919-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44057106H00000X
CALMFT44057106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist