Provider Demographics
NPI:1568141414
Name:HARTER, LINDA ANNE (LCPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANNE
Last Name:HARTER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18602 MEADOWLAND TER
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1553
Mailing Address - Country:US
Mailing Address - Phone:301-580-7348
Mailing Address - Fax:
Practice Address - Street 1:18602 MEADOWLAND TER
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1553
Practice Address - Country:US
Practice Address - Phone:301-580-7348
Practice Address - Fax:301-260-0583
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health