Provider Demographics
NPI:1922174796
Name:NOLAN, LINDA C (LMHC,LMFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:C
Last Name:NOLAN
Suffix:
Gender:F
Credentials:LMHC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-1609
Mailing Address - Country:US
Mailing Address - Phone:617-773-7258
Mailing Address - Fax:
Practice Address - Street 1:67 CODDINGTON ST
Practice Address - Street 2:LL3
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4511
Practice Address - Country:US
Practice Address - Phone:617-479-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3049101YM0800X
MA865106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist