Provider Demographics
NPI:1477658508
Name:LINK, ANNETTE CAROL (LPCC)
Entity Type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:CAROL
Last Name:LINK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 SPRINGFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0950
Mailing Address - Country:US
Mailing Address - Phone:701-391-8619
Mailing Address - Fax:
Practice Address - Street 1:2500 SPRINGFIELD ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0950
Practice Address - Country:US
Practice Address - Phone:701-391-8619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND480-7-1-02-139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional