Provider Demographics
NPI:1700274602
Name:LINNEMAN, JANIECE KAY (LPC)
Entity Type:Individual
Prefix:
First Name:JANIECE
Middle Name:KAY
Last Name:LINNEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HILL ST
Mailing Address - Street 2:
Mailing Address - City:KEYTESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65261-1127
Mailing Address - Country:US
Mailing Address - Phone:660-676-8500
Mailing Address - Fax:888-978-1973
Practice Address - Street 1:208 HILL ST
Practice Address - Street 2:
Practice Address - City:KEYTESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65261-1127
Practice Address - Country:US
Practice Address - Phone:660-676-8500
Practice Address - Fax:888-978-1973
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015008986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional