Provider Demographics
NPI:1467550764
Name:WINTER, LINDA L (LPCC LADAC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:WINTER
Suffix:
Gender:F
Credentials:LPCC LADAC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SNODGRASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:837 SOLAR RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107
Mailing Address - Country:US
Mailing Address - Phone:505-344-2048
Mailing Address - Fax:505-766-9402
Practice Address - Street 1:837 SOLAR RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-344-2048
Practice Address - Fax:505-766-9402
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCADAC3638101YA0400X
NMLPCC0591101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMB8945Medicaid
NMNM102186OtherVAL OPS