Provider Demographics
NPI:1336424902
Name:WASHINGTON, LINDA V (AMFT)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:V
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:V
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AMFT
Mailing Address - Street 1:2409 MERCED ST STE 106
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1829
Mailing Address - Country:US
Mailing Address - Phone:559-981-2795
Mailing Address - Fax:559-981-2965
Practice Address - Street 1:2409 MERCED ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1829
Practice Address - Country:US
Practice Address - Phone:559-981-2795
Practice Address - Fax:559-981-2965
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89036106H00000X
CA60867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist