Provider Demographics
NPI:1407217524
Name:LINTON, WENDY L (LPC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:L
Last Name:LINTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27169 NORWAY RD
Mailing Address - Street 2:
Mailing Address - City:STARK CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64866-7998
Mailing Address - Country:US
Mailing Address - Phone:417-592-7786
Mailing Address - Fax:
Practice Address - Street 1:27169 NORWAY RD
Practice Address - Street 2:
Practice Address - City:STARK CITY
Practice Address - State:MO
Practice Address - Zip Code:64866-7998
Practice Address - Country:US
Practice Address - Phone:417-592-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015014887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional