Provider Demographics
NPI:1942452644
Name:LINTON, JANE ELLEN (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ELLEN
Last Name:LINTON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 GOLF TER
Mailing Address - Street 2:SUITE 212
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4683
Mailing Address - Country:US
Mailing Address - Phone:715-833-2121
Mailing Address - Fax:715-577-2131
Practice Address - Street 1:4330 GOLF TER
Practice Address - Street 2:SUITE 212
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4683
Practice Address - Country:US
Practice Address - Phone:715-833-2121
Practice Address - Fax:715-577-2131
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI794-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist