Provider Demographics
NPI:1902040058
Name:OBERST, LINDA L (LPC, LSATP, MAC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:OBERST
Suffix:
Gender:F
Credentials:LPC, LSATP, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 U S HIGHWAY 29
Mailing Address - Street 2:SUITE A1
Mailing Address - City:BLAIRS
Mailing Address - State:VA
Mailing Address - Zip Code:24527-2411
Mailing Address - Country:US
Mailing Address - Phone:434-836-7770
Mailing Address - Fax:434-836-7772
Practice Address - Street 1:5656 U S HIGHWAY 29
Practice Address - Street 2:SUITE A1
Practice Address - City:BLAIRS
Practice Address - State:VA
Practice Address - Zip Code:24527-2411
Practice Address - Country:US
Practice Address - Phone:434-836-7770
Practice Address - Fax:434-836-7772
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003953101Y00000X
VA0718000202101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)