Provider Demographics
NPI:1437509205
Name:WERCINSKI, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WERCINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935-1302
Mailing Address - Country:US
Mailing Address - Phone:906-284-2825
Mailing Address - Fax:906-214-4776
Practice Address - Street 1:620 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:IRON RIVER
Practice Address - State:MI
Practice Address - Zip Code:49935-1302
Practice Address - Country:US
Practice Address - Phone:906-284-2825
Practice Address - Fax:906-214-4776
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)