Provider Demographics
NPI:1689680803
Name:LINN, JANICE LETTY (LPC)
Entity Type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:LETTY
Last Name:LINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 150TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6631
Mailing Address - Country:US
Mailing Address - Phone:806-863-3885
Mailing Address - Fax:806-863-3244
Practice Address - Street 1:5113 150TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-6631
Practice Address - Country:US
Practice Address - Phone:806-863-3885
Practice Address - Fax:806-863-3244
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13758101YP2500X
TX1118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist