Provider Demographics
NPI:1568003713
Name:LINSE, DEBBY JEAN (THERAPIST)
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:JEAN
Last Name:LINSE
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NE
Mailing Address - Zip Code:68759-5596
Mailing Address - Country:US
Mailing Address - Phone:308-631-5365
Mailing Address - Fax:
Practice Address - Street 1:406 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NE
Practice Address - Zip Code:68759-5596
Practice Address - Country:US
Practice Address - Phone:308-631-5365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE16733164W00000X
NE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse