Provider Demographics
NPI:1598889859
Name:LINN, MARGARET R (LPC / LCADC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:LINN
Suffix:
Gender:F
Credentials:LPC / LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 FIRE RD
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-4075
Mailing Address - Country:US
Mailing Address - Phone:609-365-7158
Mailing Address - Fax:609-390-8647
Practice Address - Street 1:2900 FIRE ROAD
Practice Address - Street 2:SUITE 100B
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-365-7158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00184800101YP2500X
NJ37PC00290500101YP2500X
FLMH8921101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37PC00290500OtherMENTAL HEALTH COUNSELOR
FLMH8921OtherMENTAL HEALTH COUNSELOR
NJ37LC00184800OtherMENTAL HEALTH COUNSELOR