Provider Demographics
NPI:1184798597
Name:ANDERSON, LINDA A (MED)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:3311 W CLEARWATER AVE STE C115
Mailing Address - Street 2:FAMILY & COMMUNITY CONNECTIONS, PLLC
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-2969
Mailing Address - Country:US
Mailing Address - Phone:509-783-6033
Mailing Address - Fax:509-737-0895
Practice Address - Street 1:3311 W CLEARWATER AVE STE C115
Practice Address - Street 2:FAMILY & COMMUNITY CONNECTIONS, PLLC
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2969
Practice Address - Country:US
Practice Address - Phone:509-783-6033
Practice Address - Fax:509-737-0895
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010785101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health