Provider Demographics
NPI:1790045524
Name:DURRE, LINNDA (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:LINNDA
Middle Name:
Last Name:DURRE
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:D'ADDARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LMHC
Mailing Address - Street 1:PO BOX 1093
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-1093
Mailing Address - Country:US
Mailing Address - Phone:818-271-0204
Mailing Address - Fax:
Practice Address - Street 1:127 W FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4326
Practice Address - Country:US
Practice Address - Phone:818-271-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-27
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6058101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor