Provider Demographics
NPI:1679586903
Name:HUDEC, LINDA J (PCC LICDC III)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:HUDEC
Suffix:
Gender:F
Credentials:PCC LICDC III
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:HUDER-JENKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCC LICDC III
Mailing Address - Street 1:455 SHAWNEE LANE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601
Mailing Address - Country:US
Mailing Address - Phone:740-779-4888
Mailing Address - Fax:740-779-4898
Practice Address - Street 1:455 SHAWNEE LANE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-779-4888
Practice Address - Fax:740-779-4898
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0003318101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor