Provider Demographics
NPI:1376665216
Name:JASPER, LINDA S (LPCC, RM)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:S
Last Name:JASPER
Suffix:
Gender:F
Credentials:LPCC, RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HOPE STREET
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-1429
Mailing Address - Country:US
Mailing Address - Phone:606-561-8451
Mailing Address - Fax:606-561-8451
Practice Address - Street 1:300 HOPE STREET
Practice Address - Street 2:
Practice Address - City:MT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-1429
Practice Address - Country:US
Practice Address - Phone:606-561-5797
Practice Address - Fax:606-561-9928
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY104787101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional