Provider Demographics
NPI:1821189531
Name:KING, LINDA A (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:KING
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 BOARDMAN CANFIELD RD
Mailing Address - Street 2:BUILDING D
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512
Mailing Address - Country:US
Mailing Address - Phone:330-783-9690
Mailing Address - Fax:330-783-9693
Practice Address - Street 1:725 BOARDMAN CANFIELD RD
Practice Address - Street 2:BUILDING D
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-783-9690
Practice Address - Fax:330-783-9693
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional