Provider Demographics
NPI:1942574686
Name:STOFFLE, LINDA M (MS, LPC-IT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:STOFFLE
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SPANGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W6037 COUNTY ROAD B
Mailing Address - Street 2:
Mailing Address - City:PESHTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54157-9426
Mailing Address - Country:US
Mailing Address - Phone:715-582-0255
Mailing Address - Fax:
Practice Address - Street 1:W6037 COUNTY ROAD B
Practice Address - Street 2:
Practice Address - City:PESHTIGO
Practice Address - State:WI
Practice Address - Zip Code:54157-9426
Practice Address - Country:US
Practice Address - Phone:715-582-0255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1316 226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health